Individual
AMBER MARIE BRUNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1804 17TH AVE, VIOLA, IL 61486-9200
(309) 596-2114
Mailing address
1804 17TH AVE, VIOLA, IL 61486-9200
(309) 596-2114
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146009525
IL
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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