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1194030163
LISA WELLS
GLENS FALLS, NY
NPI
1194030163
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 012878)
Enumeration Date
2010-08-13
Last Update Date
2010-08-13
Business Address
-- LISA WELLS
20 QUADE ST
GLENS FALLS, NY 12801-2725
Phone number: 518-793-3418
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Mailing Address
-- LISA WELLS
41 PINEWOOD RD
QUEENSBURY, NY 12804-7164
Phone number:
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