Individual
MRS. ALICIA FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 4TH AVE, MENDOTA, IL 61342-1705
(815) 538-6226
Mailing address
805 4TH AVE, MENDOTA, IL 61342-1705
(815) 538-6226
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/03/2017
Last updated
12/03/2017
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