Individual
CHRISTY SUE PERINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1335 FRANKLIN GROVE RD, DIXON, IL 61021-9257
(815) 284-6651
Mailing address
29648 HAHNAMAN RD, DEER GROVE, IL 61243-9703
(815) 499-7410
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146010691
IL
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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