Individual
ALEXUS COSTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3430
Mailing address
113 W RIDGE CT, ROCKINGHAM, NC 28379-8105
(336) 609-2549
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14956
NC
Other
Enumeration date
08/08/2021
Last updated
08/08/2021
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