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Individual

JULIA CHRISTINE CARPENTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
345 E SUPERIOR ST, CHICAGO, IL 60611-2654
(312) 238-1000
Mailing address
4871 N HERMITAGE AVE, APT. 3E, CHICAGO, IL 60640-4135
(810) 610-2166

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146010528
IL

Other

Enumeration date
11/11/2010
Last updated
11/11/2010
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