Individual
CARRIE GOODNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14631 ASTON WAY, LOCKPORT, IL 60441-6020
(708) 261-4303
Mailing address
14631 ASTON WAY, LOCKPORT, IL 60441-6020
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.010381
IL
Other
Enumeration date
04/11/2012
Last updated
09/19/2012
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