Mary Ellen Gustafson, M.S. CCC-SLP

NPI #1174852594 in Winfield, Illinois

Provider Information

NPI Number
1174852594
Entity Type
Individual
Name
Mary Ellen Gustafson, M.S. CCC-SLP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
M.S. CCC-SLP
Enumeration Date
Dec 14, 2009
Last Updated
Dec 14, 2009

Practice Location

Address
25 NORTH WINFIELD RD.
ZIP Code
60190-1222
Phone
(630) 933-6293

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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