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Individual

DONNA MALLENE BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
555 W COOK ST, MANTENO, IL 60950-3720
(815) 928-7285
Mailing address
512 S POPLAR CIR, MANTENO, IL 60950-1675
(815) 468-3664

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146005822
IL

Other

Enumeration date
11/29/2017
Last updated
08/30/2018
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