Individual
ALLYSON MAGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
200 S SHELDON ST, RANTOUL, IL 61866-2431
(217) 892-2151
Mailing address
3102 VALERIE DR, CHAMPAIGN, IL 61822-1831
(217) 377-8532
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146012108
IL
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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