Individual
CARRIE SLUGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1513 JAMES ST, SPRINGFIELD, IL 62703-5380
(217) 529-6355
Mailing address
1513 JAMES ST, SPRINGFIELD, IL 62703-5380
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
CS38750503P
IL
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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