Individual
MRS. ELIZABETH MIFFLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1131 SHERWOOD LN, WATERLOO, IL 62298-3359
(618) 567-7887
Mailing address
1131 SHERWOOD LN, WATERLOO, IL 62298-3359
(618) 567-7887
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146010922
IL
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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