Individual
MRS. ALICIA CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1020 S MAPLE AVE, FAIRBORN, OH 45324-3735
(937) 878-3969
Mailing address
5454 HONEYLEAF WAY, DAYTON, OH 45424-4734
(513) 259-6545
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.15364
OH
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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