Individual
CHRISTINA MICHELLE BOOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 SUGAR CREEK LN, MATTOON, IL 61938-8467
(217) 273-2903
(217) 317-2321
Mailing address
35 SUGAR CREEK LN, MATTOON, IL 61938-8467
(217) 273-2903
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146010615
IL
Other
Enumeration date
04/18/2007
Last updated
04/11/2012
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