Individual
MRS. DONNA LAJUNE BRONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS, CCC, IDFPR
Contact information
Practice address
1838 S 9TH AVE, MAYWOOD, IL 60153-3242
(708) 299-2075
Mailing address
7600 ROOSEVELT RD, FOREST PARK, IL 60130-2273
(630) 886-1742
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01137684
IL
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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