Individual
MRS. DEBORAH S LIESKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
762 CLARENDON LN, AURORA, IL 60504-3255
(630) 430-7425
Mailing address
762 CLARENDON LN, AURORA, IL 60504-3255
(630) 430-7425
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.014114
IL
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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