Individual
AMANDA OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
667 LAKE RIDGE DR, SOUTH ELGIN, IL 60177-3252
(571) 437-9259
Mailing address
667 LAKE RIDGE DR, SOUTH ELGIN, IL 60177-3252
(571) 437-9259
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.011592
IL
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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