Individual
AMANDA ALFARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 W 310 LAFOX RD, SUITE A1/B1, SAINT CHARLES, IL 60175-7745
(630) 444-0077
Mailing address
4091 BECKER ST., LINDEN, MI 48451-8960
(810) 280-0484
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.004129
IL
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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