Individual
MISS JOY NANETTE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC/SLP/L
Contact information
Practice address
1 BADER ALY, MEREDOSIA, IL 62665-7200
(217) 584-1032
Mailing address
100 BUCHANAN, RUSHVILLE, IL 62681
(217) 322-4311
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.008713
IL
Other
Enumeration date
03/27/2008
Last updated
08/24/2017
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