Individual
JESSICA FRICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.CCC-SLP
Contact information
Practice address
2412 OLD STATE RD, JACKSONVILLE, IL 62650-6251
(217) 371-2250
Mailing address
2412 OLD STATE RD, JACKSONVILLE, IL 62650-6251
(217) 371-2250
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146011638
IL
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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