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1184014342
LISA MIDWINTER
WILKES BARRE, PA
NPI
1184014342
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: PA SL011207)
Enumeration Date
2015-01-27
Last Update Date
2015-01-27
Business Address
Ms. LISA MIDWINTER M.S.,CCC-SLP
53 GRAVEL ST
WILKES BARRE, PA 18705-3738
Phone number: 570-371-5600
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Mailing Address
Ms. LISA MIDWINTER M.S.,CCC-SLP
86 N ATHERTON AVE
KINGSTON, PA 18704-5108
Phone number: 860-806-1665
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