Individual
DENAE MARIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 LOCUST ST, RED BUD, IL 62278-1210
(618) 282-3507
Mailing address
107 S VAN BUREN ST, NEW ATHENS, IL 62264-1323
(618) 910-7654
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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