Individual
ELIZABETH HORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 N 2ND ST, BELLEVILLE, IL 62220-1254
(618) 233-2413
Mailing address
8 DANUBE, MILLSTADT, IL 62260-2255
(618) 541-4609
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146013211
IL
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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