Individual
JANNA MARIE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
2411 PATHWAYS XING, BELLEVILLE, IL 62221-5885
(618) 355-4421
Mailing address
2411 PATHWAYS XING, BELLEVILLE, IL 62221-5885
(618) 355-4421
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
143.013617
IL
235Z00000X
Speech-Language Pathologist
2016024372
MO
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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