Individual
DAPHNE MARIE WALLACE GRIBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1201 PINE ST, ELDORADO, IL 62930-1634
(618) 273-3361
Mailing address
15934 CANAVILLE RD, CREAL SPRINGS, IL 62922-2506
(618) 638-7303
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.007328
IL
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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