Individual
CHANNING CARAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1000 HEALTH CENTER DR, MATTOON, IL 61938-9253
(217) 258-2568
Mailing address
1000 HEALTH CENTER DR, MATTOON, IL 61938-9253
(172) 582-5682
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146011375
IL
Other
Enumeration date
11/25/2013
Last updated
02/28/2019
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