Individual
ANGELA LYNN OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP/L
Contact information
Practice address
1709 S 9TH ST, MATTOON, IL 61938-6000
(217) 258-2800
Mailing address
1709 S 9TH ST, MATTOON, IL 61938-6000
(217) 258-2800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146009188
IL
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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