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Individual

ALYSSA WIXON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
15 UNGAVA DR, NEW CITY, NY 10956-4125
(914) 804-2681
Mailing address
15 UNGAVA DR, NEW CITY, NY 10956-4125
(914) 804-2681

Taxonomy

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

Other

Enumeration date
08/12/2015
Last updated
08/12/2015
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