Individual
JILL DENISE EBERHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
300 CEDAR ST, TARKIO, MO 64491-1174
(660) 736-4116
Mailing address
1903 23RD ST, AUBURN, NE 68305-2404
(402) 770-7367
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1266
NE
Other
Enumeration date
05/02/2010
Last updated
05/02/2010
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