Individual
MAXINE ALESHA WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
4007 CENTRAL AVE, INDIANAPOLIS, IN 46205-2602
(812) 236-6569
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46002915A
IN
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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