Individual
CAMILLE GRACE BENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2912 N UNIVERSITY AVE, DECATUR, IL 62526-1557
(217) 362-3300
Mailing address
238 ELIM SPRINGS PARK, SULLIVAN, IL 61951-6204
(217) 521-8632
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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