Individual
MRS. EMILY MARIE PEGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
319 FERRY ST, BROOKPORT, IL 62910-2891
(618) 564-2482
Mailing address
319 FERRY ST, BROOKPORT, IL 62910-2891
(618) 564-2482
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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