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Individual

ALICIA MARIE WALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
19309 BEAVER CREEK LN, MOKENA, IL 60448-8251
(708) 650-2106
Mailing address
19309 BEAVER CREEK LN, MOKENA, IL 60448-8251

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
09/01/2011
Last updated
09/28/2024
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