Individual
ALYSSA L FUGGITI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP/L
Contact information
Practice address
1870 W WINCHESTER RD, SUITE 203, LIBERTYVILLE, IL 60048-5358
(847) 816-7200
(847) 816-7210
Mailing address
PO BOX 7635, LIBERTYVILLE, IL 60048-7635
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.011095
IL
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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