MS. Carly Marie Kupersmith

NPI #1780163501 in Geneseo, Illinois

Provider Information

NPI Number
1780163501
Entity Type
Individual
Name
MS. Carly Marie Kupersmith
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Aug 13, 2018
Last Updated
Aug 13, 2018

Practice Location

Address
415 N RUSSELL AVE
ZIP Code
61254-2044
Phone
(309) 945-0625

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

Additional Practice Locations

920 S Congress St

Geneseo, IL, 61254-1808

(309) 945-0475

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