Individual
MRS. ALISA ANNE-MARIE CARLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
780 SHORELINE DR, AURORA, IL 60504-6192
(630) 375-3030
Mailing address
25043 GATES LN, PLAINFIELD, IL 60585-2191
(815) 483-3347
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146005841
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245360239
—
IL
Enumeration date
11/13/2017
Last updated
11/13/2017
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