Individual
DANIELLE ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
816A MAHLENBROCK AVE, FORT DIX, NJ 08640-1812
(941) 705-4949
Mailing address
816A MAHLENBROCK AVE, FORT DIX, NJ 08640-1812
(941) 705-4949
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
14080768
OK
235Z00000X
Speech-Language Pathologist
Primary
41YS00995400
NJ
Other
Enumeration date
08/27/2015
Last updated
10/30/2019
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