Individual
JENNA FALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
915 E 5TH ST, ALTON, IL 62002-6434
(618) 643-5171
Mailing address
915 E 5TH ST, ALTON, IL 62002-6434
(618) 643-5171
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146013136
IL
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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