Susan Carrasco

NPI #1548804925 in Peoria, Illinois

Provider Information

NPI Number
1548804925
Entity Type
Individual
Name
Susan Carrasco
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Oct 29, 2019
Last Updated
Oct 29, 2019

Practice Location

Address
5409 N KNOXVILLE AVE
City
Peoria
ZIP Code
61614-5069
Phone
(309) 691-1040

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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