Individual
MRS. EMILY NICOLE CORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC/SLP
Contact information
Practice address
2311 RANDOLPH ST, CALEDONIA, IL 61011-9321
(815) 547-1455
Mailing address
3254 PRAIRIE RD, BELVIDERE, IL 61008-9707
(815) 742-7507
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
857566
IL
Other
Enumeration date
09/13/2017
Last updated
07/21/2022
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