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Individual

ALLIE T AUSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1202 E JACKSON AVE, RIVERTON, WY 82501-3866
(307) 856-4337
Mailing address
422 ALLIE TAYLOR DR, MUSCLE SHOALS, AL 35661-5446
(256) 702-6279

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SLP.8060
SC
235Z00000X
Speech-Language Pathologist
Primary
SP-1312
WY

Other

Enumeration date
01/20/2023
Last updated
09/18/2023
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