Individual
DAWN RENEE LIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
705 S GRAND ST, NASHVILLE, IL 62263-1534
(618) 327-2232
(618) 327-2363
Mailing address
705 S GRAND ST, NASHVILLE, IL 62263-1534
(618) 327-2232
(618) 327-2363
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
01/10/2008
Last updated
01/10/2008
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