Individual
DEBORAH PAT STATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,CCC-SLP
Contact information
Practice address
RR 1 BOX 172, VERSAILLES, IL 62378-9756
(217) 225-3531
(217) 225-3181
Mailing address
RR 1 BOX 172, VERSAILLES, IL 62378-9756
(217) 225-3531
(217) 225-3181
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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