Individual
ALYSSA BOVARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
753 DALHART AVE, ROMEOVILLE, IL 60446-1156
(815) 886-7827
Mailing address
753 DALHART AVE, ROMEOVILLE, IL 60446-1156
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242004380
IL
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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