Individual
HEATHER MICHELINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1417 W COLUMBIA TER, PEORIA, IL 61606-1104
(314) 686-8110
Mailing address
1417 W COLUMBIA TER, PEORIA, IL 61606-1104
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.003393
IL
Other
Enumeration date
08/05/2015
Last updated
11/09/2017
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