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Individual

MS. BRITTANY SHADAY MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A. CCC-SLP

Contact information

Practice address
10719 S SANGAMON ST, CHICAGO, IL 60643-3825
(773) 724-1537
(773) 264-6601
Mailing address
P.O. BOX 439270, CHICAGO, IL 60643-3825
(773) 724-1537
(773) 264-6601

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.010417
IL
235Z00000X
Speech-Language Pathologist
242.001317
IL

Other

Enumeration date
08/17/2009
Last updated
03/21/2011
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