ALYCEN FIELDING DECOSTA

SPANISH FORK, UT
NPI1720506710
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: UT  10144790-4102)
Enumeration Date2017-08-30
Last Update Date2018-05-25
Business Address
ALYCEN FIELDING DECOSTA CCC-SLP
397 S 200 E
SPANISH FORK, UT 84660
Phone number: 801-210-9319
Mailing Address
ALYCEN FIELDING DECOSTA CCC-SLP
727 S MAIN ST
SPANISH FORK, UT 84660-2449
Phone number: 435-231-4112
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