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Individual

ALIDA HAULER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCC-SLP

Contact information

Practice address
110 HOPEWELL RD STE 100, DOWNINGTOWN, PA 19335-1047
(484) 224-5885
Mailing address
65 MEADOWLAKE DR, DOWNINGTOWN, PA 19335-2135

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL017361
PA

Other

Enumeration date
03/04/2024
Last updated
05/12/2026
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