Individual
CYNTHIA J STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
4343 STATE HIGHWAY 14, CHRISTOPHER, IL 62822-0140
(618) 724-7456
(618) 724-7492
Mailing address
PO BOX 140, 4343 STATE HIGHWAY 14, CHRISTOPHER, IL 62822-0140
(618) 724-7456
(618) 724-7492
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146005942
IL
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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