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Individual
ALLYSON BOECKMAN
Active
Individual
ALLYSON BOECKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002235
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065141
—
IA
Enumeration date
07/16/2012
Last updated
07/16/2012
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