Individual
MRS. JESSICA NICOLE CANNADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
71 ARCHER AVE, MARSHALL, IL 62441-1065
(217) 251-1624
Mailing address
71 ARCHER AVE, MARSHALL, IL 62441-1065
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.011111
IL
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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