Individual
JENNIFER MARIE CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 W PINE DR, EFFINGHAM, IL 62401-2954
(217) 343-2603
Mailing address
106 W PINE DR, EFFINGHAM, IL 62401-2954
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.005693
IL
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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