Individual
MRS. BETHANY JOY DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/CCC-SLP
Contact information
Practice address
4877 STATE HIGHWAY 148, MULKEYTOWN, IL 62865-3295
(618) 596-2121
Mailing address
10911 PAULTON RD, PITTSBURG, IL 62974-1706
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2007540
IL
Other
Enumeration date
09/08/2017
Last updated
03/17/2018
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