Individual
ALIA RUBY MARIELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
862 W BARRY AVE APT 2B, CHICAGO, IL 60657-4433
(312) 307-5909
Mailing address
862 W BARRY AVE APT 2B, CHICAGO, IL 60657-4433
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.018174
IL
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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