Individual
MRS. BECCA COMBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2028 LEBANON AVE, BELLEVILLE, IL 62221-2523
(618) 239-0000
Mailing address
2028 LEBANON AVE, BELLEVILLE, IL 62221-2523
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.013424
IL
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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