Individual
EMMA GRACE ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4429 E 56TH ST, DAVENPORT, IA 52807-2995
(563) 441-3000
Mailing address
6271 DAYTON CORNER B ST, COLONA, IL 61241-8927
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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