Individual
MRS. DEE ANNA DARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS SLP CCCL
Contact information
Practice address
109 2ND ST, CARROLLTON, IL 62016
(217) 248-5217
Mailing address
109 2ND ST, CARROLLTON, IL 62016
(217) 248-5217
(217) 243-3155
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003132001
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/30/2006
Last updated
07/08/2007
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