Kaylee Jo Petersen
NPI #1851069090 in Gibson City, Illinois
Provider Information
- NPI Number
- 1851069090
- Entity Type
- Individual
- Name
- Kaylee Jo Petersen
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Sep 2, 2021
- Last Updated
- Sep 2, 2021
Practice Location
- Address
- 902 N CHURCH ST
- City
- Gibson City
- State
- Illinois
- ZIP Code
- 60936-1075
- Phone
- (217) 784-4278
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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