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Individual

ANDREA KOVACIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCC-SLP

Contact information

Practice address
910 MURFREESBORO RD, FRANKLIN, TN 37064-3169
(630) 222-1229
Mailing address
1700 WHITE ST, MOUNT VERNON, IL 62864-4349
(630) 222-1229

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146.009761
IL
235Z00000X
Speech-Language Pathologist
Primary
4919
TN
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
07/11/2012
Last updated
03/28/2025
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