Individual
BRITTANY MACCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
410 W POLK AVE, CHARLESTON, IL 61920-2557
(815) 725-9992
Mailing address
410 W POLK AVE, CHARLESTON, IL 61920-2557
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242001245
IL
Other
Enumeration date
09/28/2009
Last updated
08/31/2023
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