ALAN PAUL WALICKE

PRESCOTT, AZ
NPI1861553661
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: AZ  SLP0060)
Enumeration Date2006-12-13
Last Update Date2007-07-08
Business Address
-- ALAN PAUL WALICKE CCC-SLP
1903 BEGONIA PL
PRESCOTT, AZ 86303-5029
Phone number: 928-541-9508
Mailing Address
-- ALAN PAUL WALICKE CCC-SLP
1903 BEGONIA PL
PRESCOTT, AZ 86303-5029
Phone number: 928-541-9508
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