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Individual

MRS. ALEXIS MARIE IRAZOQUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
7600 CHEVY CHASE DR STE 300, AUSTIN, TX 78752-1599
(512) 399-0064
Mailing address
7600 CHEVY CHASE DR STE 300, AUSTIN, TX 78752-1599
(512) 399-0064

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.014182
IL
235Z00000X
Speech-Language Pathologist
242.004402
IL

Other

Enumeration date
02/04/2018
Last updated
12/13/2021
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