Individual
ALYSSA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 N WASHINGTON ST, MONROE CITY, MO 63456-1345
(573) 735-4631
Mailing address
420 N WASHINGTON ST, MONROE CITY, MO 63456-1345
(573) 735-4631
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2015024011
MO
Other
Enumeration date
09/10/2015
Last updated
07/16/2025
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