Individual
MRS. ALEXANDRA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP/L
Contact information
Practice address
105 W A ST, BELLEVILLE, IL 62220-1326
(618) 233-2830
Mailing address
2723 N 39TH ST, FAIRMONT CITY, IL 62201-2155
(618) 803-1910
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.011641
IL
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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