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Organization
SHINING LIGHT THERAPY
Active
Organization
SHINING LIGHT THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA PICKMAN MS, CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(847) 508-6135
Entity
Organization
Contact information
Practice address
522 N ASHLAND AVE APT 2, CHICAGO, IL 60622-6337
(847) 508-6135
Mailing address
522 N ASHLAND AVE APT 2, CHICAGO, IL 60622-6337
(847) 508-6135
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/10/2023
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