Individual
CASSIE DEANN FLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3308 CHESTNUT AVE, MATTOON, IL 61938-3615
(217) 821-9715
Mailing address
3308 CHESTNUT AVE, MATTOON, IL 61938-3615
(217) 821-9715
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.009824
IL
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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