Individual
JEANINE MARIE HOLTSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC SLP
Contact information
Practice address
4N195 FOX MILL BLVD, SAINT CHARLES, IL 60175-7770
(630) 587-9831
(630) 587-9832
Mailing address
4N195 FOX MILL BLVD, SAINT CHARLES, IL 60175-7770
(630) 587-9831
(630) 587-9832
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.003451
IL
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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