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Individual

ANN CLARE HEINEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S SLP

Contact information

Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 825-0549
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 825-0549

Taxonomy

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

Other

Enumeration date
12/13/2019
Last updated
12/13/2019
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