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Individual

ALICIA RITA WILECZEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
5330 EUCLID ST, PHILADELPHIA, PA 19131-3211
(215) 939-4449
Mailing address
5330 EUCLID ST, PHILADELPHIA, PA 19131-3211
(215) 939-4449

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL014330
PA
235Z00000X
Speech-Language Pathologist
PA

Other

Enumeration date
03/16/2022
Last updated
03/16/2022
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