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Individual

HUNTER BROOK CRAVEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1329 IL-3, SUITE 4, WATERLOO, IL 62298
(618) 939-7761
Mailing address
4420 BOEING RD, SCOTT AFB, IL 62225-6308
(910) 496-5554

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.017293
IL

Other

Enumeration date
08/09/2023
Last updated
08/09/2023
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