Individual
ANGELA MARIE PETRICCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP/L
Contact information
Practice address
555 JERSEY LN, ELK GROVE VLG, IL 60007-2765
(847) 293-4787
Mailing address
555 JERSEY LN, ELK GROVE VLG, IL 60007-2765
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.011210
IL
Other
Enumeration date
02/11/2008
Last updated
09/11/2012
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