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Individual

ERIN MARIE MACDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
18160 W GAGES LAKE RD, GAGES LAKE, IL 60030-1819
(847) 548-8470
Mailing address
18160 W GAGES LAKE RD, GRAYSLAKE, IL 60030-1819
(854) 548-8470

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146014910
IL
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
06/01/2021
Last updated
06/01/2021
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