Individual
MR. ALPHONSO J SLAUGHTER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
88 GRAYMOOR LN, OLYMPIA FIELDS, IL 60461-1214
(708) 612-2590
Mailing address
88 GRAYMOOR LN, OLYMPIA FIELDS, IL 60461-1214
(708) 612-2590
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146006740
IL
235Z00000X
Speech-Language Pathologist
22004828A
IN
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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