Individual
HAILEY M WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, CF-SLP
Contact information
Practice address
600 N COLLEGE AVE, GENESEO, IL 61254-1099
(309) 944-9150
Mailing address
600 N COLLEGE AVE, GENESEO, IL 61254-1099
(309) 944-9150
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.007977
IL
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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