ALICIA ANNE COOPER

VERONA, WI
NPI1831696871
Former NameALICIA ANNE BRACH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WI  4613-154)
Enumeration Date2018-04-06
Last Update Date2018-04-06
Business Address
ALICIA ANNE COOPER CCC-SLP
339 PRAIRIE OAKS DR
VERONA, WI 53593-2005
Phone number: 217-552-2896
Mailing Address
ALICIA ANNE COOPER CCC-SLP
339 PRAIRIE OAKS DR
VERONA, WI 53593-2005
Phone number: 217-552-2896