Individual
MRS. CATHY ANN MUCKIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1622 ANDREA DR, NEW LENOX, IL 60451-2304
(815) 790-3217
Mailing address
1622 ANDREA DR, NEW LENOX, IL 60451-2304
(815) 790-3217
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1831290
IL
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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