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Individual

ALYSSA VANPARIS FORAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MHS

Contact information

Practice address
1943 W OAKDALE AVE APT 2, CHICAGO, IL 60657-4025
(314) 541-7477
Mailing address
1943 W OAKDALE AVE APT 2, CHICAGO, IL 60657-4025
(314) 541-7477

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146012377
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
146012377
ILLINOIS DEPARTMENT OF PROFESSIONAL REGULATION
IL
Enumeration date
05/02/2014
Last updated
10/19/2021
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