Individual
ANN MARIE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2385 E PATTONSBURG RD, MINONK, IL 61760-9342
(309) 399-7055
Mailing address
2385 E PATTONSBURG RD, MINONK, IL 61760-9342
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146012254
IL
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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