MRS. Jaci Rae Dale, M.S., CCC-SLP
NPI #1275662728 in Harrisburg, Illinois
Provider Information
- NPI Number
- 1275662728
- Entity Type
- Individual
- Name
- MRS. Jaci Rae Dale, M.S., CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S., CCC-SLP
- Enumeration Date
- Mar 2, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 701 S LEDFORD ST
- City
- Harrisburg
- State
- Illinois
- ZIP Code
- 62946-2532
- Phone
- (618) 253-7019
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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