AIDELISA LOPEZ-CARRASCO

SPRINGFIELD, MA
NPI1003983768
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MA  5988)
Enumeration Date2006-11-29
Last Update Date2007-07-08
Business Address
-- AIDELISA LOPEZ-CARRASCO
136 WILLIAM ST
SPRINGFIELD, MA 01105-2349
Phone number: 413-788-2171
Mailing Address
-- AIDELISA LOPEZ-CARRASCO
120 AMHERST ST
GRANBY, MA 01033-9711
Phone number: