Individual
ASHLEY LAUREN MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5220 135TH ST, CRESTWOOD, IL 60418-1502
(708) 385-6690
Mailing address
5312 135TH ST, CRESTWOOD, IL 60418-1504
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146015452
IL
235Z00000X
Speech-Language Pathologist
242005218
IL
Other
Enumeration date
04/02/2019
Last updated
10/20/2020
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