Individual
ALESIA JANESE WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1204 MAIN ST STE 218, BRANFORD, CT 06405-3787
(847) 909-1325
Mailing address
1204 MAIN ST STE 218, BRANFORD, CT 06405-3787
(847) 909-1325
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
100947
MA
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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