Organization
ALPHABET AVENUE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM MARIE MEINKE (OWNER)
(815) 517-7653
Entity
Organization
Contact information
Practice address
1225 E STATE ST, SYCAMORE, IL 60178-9502
(815) 517-7653
Mailing address
1225 E STATE ST, SYCAMORE, IL 60178-9502
(815) 517-7653
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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