MS. Heather Gustafson

NPI #1144748237 in Kewanee, Illinois

Provider Information

NPI Number
1144748237
Entity Type
Individual
Name
MS. Heather Gustafson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Sep 8, 2017
Last Updated
Dec 3, 2020

Practice Location

Address
1401 LAKE ST
ZIP Code
61443-1649
Phone
(309) 852-2449

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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