Individual
ALYSSA HUCKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 W CHURCH ST, COLLINSVILLE, IL 62234-2725
(618) 346-6301
Mailing address
1211 WOODBRIDGE ST, COLLINSVILLE, IL 62234-3882
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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