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1699462168
ALEXIS J DETTMER
GLEN ELLYN, IL
NPI
1699462168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146.011647)
Enumeration Date
2023-04-24
Last Update Date
2023-04-24
Business Address
ALEXIS J DETTMER
240 HAWTHORNE BLVD
GLEN ELLYN, IL 60137-4038
Phone number: 163-053-4742
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Mailing Address
ALEXIS J DETTMER
5716 LEE AVE
DOWNERS GROVE, IL 60516-1143
Phone number: 630-534-7428
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