Individual
DEBORAH KIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
40 N 64TH ST, BELLEVILLE, IL 62223-3808
(618) 397-8400
Mailing address
40 N 64TH ST, BELLEVILLE, IL 62223-3808
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.011185
IL
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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