Individual
CHRISTINA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 E WASHINGTON ST, EAST PEORIA, IL 61611-2663
(309) 282-6704
Mailing address
411 E WASHINGTON ST, EAST PEORIA, IL 61611-2663
(309) 282-6704
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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