Individual
ELYSE HAAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1036 VOSSCLARE LN, BREESE, IL 62230-4406
(618) 971-7465
Mailing address
1036 VOSSCLARE LN, BREESE, IL 62230-4406
(618) 971-7465
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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