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1134395056
LISA MICHELLE GENEROUS
GLENDALE, AZ
NPI
1134395056
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Former Name
LISA MICHELLE BERRY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MA 7366)
Enumeration Date
2008-04-30
Last Update Date
2014-10-28
Business Address
Mrs. LISA MICHELLE GENEROUS
5555 W THUNDERBIRD RD
GLENDALE, AZ 85306-4622
Phone number: 602-865-5555
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Mailing Address
Mrs. LISA MICHELLE GENEROUS
5555 W THUNDERBIRD RD
GLENDALE, AZ 85306-4622
Phone number:
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