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1164858288
ALEXIS THEONI BELLACK
CHEYENNE, WY
NPI
1164858288
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WY SP-538)
Enumeration Date
2013-09-20
Last Update Date
2013-09-20
Business Address
Mrs. ALEXIS THEONI BELLACK M.S. CCC-SLP
5801 YELLOWSTONE RD
CHEYENNE, WY 82009-4174
Phone number: 307-638-6100
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Mailing Address
Mrs. ALEXIS THEONI BELLACK M.S. CCC-SLP
935 NEW BEDFORD DR
CHEYENNE, WY 82009-2810
Phone number: 307-631-0052
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