Individual
MRS. JAN MARIE WHITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,CCC,SLP
Contact information
Practice address
1303 PALMER CREEK DR, COLUMBIA, IL 62236-2744
(618) 281-2119
Mailing address
1303 PALMER CREEK DR, COLUMBIA, IL 62236-2744
(618) 281-2119
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.008572
IL
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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