Nicole Marie Hartke
NPI #1386198778 in Bloomington, Illinois
Provider Information
- NPI Number
- 1386198778
- Entity Type
- Individual
- Name
- Nicole Marie Hartke
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Aug 15, 2016
- Last Updated
- Aug 15, 2016
Practice Location
- Address
- 3122 RUDDER LN APT 105
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-8203
- Phone
- (217) 821-8169
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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