Individual
AMY CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP CCC
Contact information
Practice address
10 GROVE ST APT 7, PROPHETSTOWN, IL 61277-9144
(309) 337-2332
Mailing address
10 GROVE ST APT 7, PROPHETSTOWN, IL 61277-9144
(309) 337-2332
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.011944
IL
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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