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Individual

ALEXA DUPONT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
71 ORPHANAGE RD, FORT MITCHELL, KY 41017-3006
(859) 331-0880
Mailing address
267 FOOTE AVE, BELLEVUE, KY 41073-1218
(859) 802-7431

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPINP00211714
KY

Other

Enumeration date
10/09/2014
Last updated
10/09/2014
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