Individual
MS. BRANDY ELAINE PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.H.S
Contact information
Practice address
3002 W WALNUT ST, CHICAGO, IL 60612-1847
(773) 410-0006
Mailing address
3002 W WALNUT ST, CHICAGO, IL 60612-1847
(773) 410-0006
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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