Individual
ELLEN LOUISE HENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 N GOVERNOR ST, SYCAMORE, IL 60178-1550
(815) 325-9513
Mailing address
131 N GOVERNOR ST, SYCAMORE, IL 60178-1550
(815) 325-9513
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146012114
IL
Other
Enumeration date
07/01/2014
Last updated
10/31/2019
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