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1336620087
ALYCIA LEANE CARROLL
BLOOMINGTON, IL
NPI
1336620087
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146009500)
Enumeration Date
2018-08-21
Last Update Date
2018-08-21
Business Address
Mrs. ALYCIA LEANE CARROLL MS, CCC-SLP
1605 E OAKLAND AVE
BLOOMINGTON, IL 61701-5617
Phone number: 309-662-4302
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Mailing Address
Mrs. ALYCIA LEANE CARROLL MS, CCC-SLP
1106 IRONWOOD CC DR
NORMAL, IL 61761-5233
Phone number: 309-706-3044
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