Individual
DONATA NIECIUNSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
10S431 GLENN DR, BURR RIDGE, IL 60527-6859
(708) 289-6517
Mailing address
10S431 GLENN DR, BURR RIDGE, IL 60527-6859
(708) 289-6517
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/07/2018
Last updated
07/07/2022
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