BLAKE SELF, CCC-SLP

CCC-SLP

Speech-Language Pathologist

NPI: 1164887592Individual

Specialties, Licenses & Credentials

Speech-Language PathologistPrimary

Speech-Language Pathologist

Code: 235Z00000X

146012447(IL)

Contact & Hours

Address: 5704 WONDER WOODS DRIVE
WONDER LAKE, IL 60097
Phone: (847) 636-7603

Quick Facts

NPI: 1164887592
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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