Individual
AMY JEAN BOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC SLP
Contact information
Practice address
1128 WHITE ROCK DR, DIXON, IL 61021-9049
(815) 652-5257
Mailing address
1128 WHITE ROCK DR, DIXON, IL 61021-9049
(815) 652-5257
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.006570
IL
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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