Individual
MRS. ALICIA MARIE MAKUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC SLP
Contact information
Practice address
9 BRISTOL CT, WYOMISSING, PA 19610-1851
(610) 670-8600
Mailing address
9 BRISTOL CT, WYOMISSING, PA 19610-1851
(610) 670-8600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL010860
PA
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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