Individual
CHARNELLE NICOLE BRINKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 UNIVERSITY CIR, MACOMB, IL 61455-1367
(575) 799-8657
Mailing address
2219 JOYCE LN, SPRINGFIELD, IL 62703-3322
(217) 416-0334
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242005199
IL
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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