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Individual

MISS JANEA MICHELLE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
348 55TH ST, CLARENDON HILLS, IL 60514-3015
(630) 670-0901
Mailing address
687 FIELDCREST DR UNIT C, SOUTH ELGIN, IL 60177-3414
(918) 822-1317

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.001668
IL

Other

Enumeration date
12/12/2010
Last updated
12/12/2010
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