Individual
ALYSH OETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4505 W DEYOUNG ST STE 203C, MARION, IL 62959-5899
(618) 283-2222
Mailing address
611 S GLENVIEW DR, CARBONDALE, IL 62901-2245
(309) 883-3605
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.016624
IL
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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