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Individual

MRS. AMY MICHELLE HANNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SPEECH/LANGUAGE PATH

Contact information

Practice address
242 CAROLINA ST, BOLINGBROOK, IL 60490-2056
(630) 759-4391
Mailing address
242 CAROLINA ST, BOLINGBROOK, IL 60490-2056
(630) 759-4391

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146005865
IL

Other

Enumeration date
05/28/2013
Last updated
05/28/2013
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