Jacqueline Marie Tish
NPI #1457733354 in Monticello, Illinois
Provider Information
- NPI Number
- 1457733354
- Entity Type
- Individual
- Name
- Jacqueline Marie Tish
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jun 26, 2015
- Last Updated
- Jun 26, 2015
Practice Location
- Address
- 15 WESTWOOD DR
- City
- Monticello
- State
- Illinois
- ZIP Code
- 61856-8239
- Phone
- (217) 521-2571
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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