Individual
JENNIFER MEGANN ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
312 S WEST ST, CAMBRIDGE, IL 61238-1430
(309) 937-2028
Mailing address
1318 W 6TH ST, KEWANEE, IL 61443-1261
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.005388
IL
Other
Enumeration date
08/17/2019
Last updated
08/17/2019
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