Individual
CARLY ANN HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
145 E WALNUT ST, OGLESBY, IL 61348-1367
(815) 200-8830
Mailing address
650 5TH ST, LA SALLE, IL 61301-2120
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242006156
IL
Other
Enumeration date
04/19/2021
Last updated
06/13/2023
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