Individual
ALYSSA AHLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24402 W LOCKPORT ST STE 124, PLAINFIELD, IL 60544-4288
(815) 239-0395
(815) 239-0408
Mailing address
24402 W LOCKPORT ST STE 124, PLAINFIELD, IL 60544-4288
(815) 239-0395
(815) 239-0408
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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