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Individual

MRS. AMBER RAE WILKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., SLP, CCC

Contact information

Practice address
11901 GOLDEN GATE DR, MOKENA, IL 60448-2030
(708) 539-4457
Mailing address
11901 GOLDEN GATE DR, MOKENA, IL 60448-2030
(708) 539-4457

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12149622
IL

Other

Enumeration date
04/09/2012
Last updated
04/09/2012
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