Individual
MRS. JENNIFER SHOEMATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
28 CHICK ST, METROPOLIS, IL 62960-2467
(618) 524-2176
Mailing address
460 HENSLEY HILLS DR, VIENNA, IL 62995-2513
(618) 658-2389
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.009216
IL
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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