Individual
DAMARIS MILTENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
804 W MAIN ST, CARBONDALE, IL 62901-2538
(618) 351-1279
(618) 351-6369
Mailing address
804 W MAIN ST, CARBONDALE, IL 62901-2538
(618) 351-1279
(618) 351-6369
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.002025
IL
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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