Individual
ALEX JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 N SMILEY ST, O FALLON, IL 62269-1353
(618) 632-6391
Mailing address
1010 E 3RD ST APT 9, O FALLON, IL 62269-2278
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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