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Individual

ALISHA FULLENKAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5175 EMERALD PKWY, DUBLIN, OH 43017-1063
(314) 302-8967
Mailing address
5038 SHANNONBROOK DR, COLUMBUS, OH 43221-5245
(314) 302-8967

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.12930
OH

Other

Enumeration date
09/02/2014
Last updated
08/14/2024
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