Individual
MS. ALLISON RENEE SEBASTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2837 E DUPONT RD, FORT WAYNE, IN 46825-1668
(260) 497-0328
(260) 497-0904
Mailing address
2837 E DUPONT RD, FORT WAYNE, IN 46825-1668
(260) 497-0328
(260) 497-0904
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005351A
IN
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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