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Individual

MRS. DENELLE MARIE WHITLATCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
3008 WHEATFIELD LN, TRENTON, IL 62293-3601
(618) 660-8416
Mailing address
3008 WHEATFIELD LN, TRENTON, IL 62293-3601
(618) 660-8416
(618) 224-6132

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146010344
IL
235Z00000X
Speech-Language Pathologist
Primary
2010017184
MO

Other

Enumeration date
01/26/2011
Last updated
11/22/2022
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