Individual
BREE N CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS. CF-SLP
Contact information
Practice address
1015 OCONOR AVE, LA SALLE, IL 61301-1216
(815) 223-0303
Mailing address
826 PIKE PL, OTTAWA, IL 61350-4779
(815) 674-2505
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.004482
IL
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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