Individual
JAN ALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 W MORTON, SPEECHWORKS, JACKSONVILLE, IL 62650
(217) 473-5274
(217) 742-9634
Mailing address
311 WILLOW DR, WINCHESTER, IL 62694-8036
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146-002502
IL
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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