Individual
CASSIDY DIANNE COLLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CF-SLP
Contact information
Practice address
1490 E MYRTLE ST, CANTON, IL 61520-1519
(309) 647-0136
Mailing address
675 CARTER ST, FAIRVIEW, IL 61432-5031
(309) 371-2033
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1218469
IL
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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