AILISSA ALSUP

CABOT, AR
NPI1083711543
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: AR  SP#1218)
Enumeration Date2006-09-19
Last Update Date2007-07-09
Business Address
-- AILISSA ALSUP MS, CCC-SLP
205 PLAZA BLVD.
CABOT, AR 72023
Phone number: 501-628-0063
Mailing Address
-- AILISSA ALSUP MS, CCC-SLP
P.O. BOX 980
LONOKE, AR 72086
Phone number: 501-676-2786
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