Susan Mary Bickline, SLP

NPI #1659635688 in Breese, Illinois

Provider Information

NPI Number
1659635688
Entity Type
Individual
Name
Susan Mary Bickline, SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
SLP
Enumeration Date
Jun 25, 2012
Last Updated
Jun 25, 2012

Practice Location

Address
9515 HOLY CROSS LN
Address 2
BOX 99
City
Breese
ZIP Code
62230-3618
Phone
(618) 526-4511

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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