Individual
MRS. ALEJANDRA FABIAN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
2646 W. 22ND PLACE, CHICAGO, ID 60608
(773) 968-3458
Mailing address
2646 W 22ND PL, CHICAGO, IL 60608-3517
(773) 968-3458
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146013821
IL
Other
Enumeration date
07/07/2017
Last updated
07/07/2017
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