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Individual
ALYSSA SANDS
Active
Individual
ALYSSA SANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP01499
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0614
NHP RI
RI
05
—
ES01788
—
RI
01
—
SB870
BLUE CROSS RI
RI
Enumeration date
11/05/2019
Last updated
11/05/2019
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