Individual
ALISE GARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
507 E ARMSTRONG AVE, PEORIA, IL 61603-3201
(309) 686-1177
Mailing address
7008 N MANNING DR, PEORIA, IL 61614-1912
(309) 868-3758
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146016616
IL
Other
Enumeration date
02/22/2022
Last updated
01/09/2026
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