Individual
GWEN SABO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
108 W CHURCH ST, COLLINSVILLE, IL 62234-2725
(618) 346-6301
Mailing address
108 W CHURCH ST, COLLINSVILLE, IL 62234-2725
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.004697
IL
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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