Individual
YAJIE RONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4321 FIR ST, EAST CHICAGO, IN 46312-3097
(219) 392-7400
Mailing address
4321 FIR ST, EAST CHICAGO, IN 46312-3097
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22007155A
IN
Other
Enumeration date
02/18/2019
Last updated
06/24/2020
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