Individual
MRS. HALEY MARIE BENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP/L
Contact information
Practice address
215 E 2ND ST, GILMAN, IL 60938-1301
(815) 265-7631
Mailing address
PO BOX 400, CRESCENT CITY, IL 60928-0400
(815) 683-2662
(815) 683-9913
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146012713
IL
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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