Individual
MS. ALEXIS ELIZABETH DUTKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1200 E 20TH ST, CHEYENNE, WY 82001-3979
(307) 773-8112
Mailing address
4512 E 12TH ST UNIT 6, CHEYENNE, WY 82001-6782
(304) 261-1076
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-951
WV
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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