Individual
ALISSA ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2612 BAYVIEW SOUTH KNL, ALBERT LEA, MN 56007-4014
(507) 369-3136
Mailing address
2612 BAYVIEW SOUTH KNL, ALBERT LEA, MN 56007-4014
(507) 369-3136
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
10043
MN
235Z00000X
Speech-Language Pathologist
Primary
—
NV
Other
Enumeration date
02/21/2019
Last updated
06/04/2020
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