ANNALISE LIRA

SOUTH BEND, IN
NPI1215612387
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IN  46004273A)
Enumeration Date2023-06-16
Last Update Date2023-06-16
Business Address
ANNALISE LIRA CF-SLP
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615-2635
Phone number: 574-289-4831
Mailing Address
ANNALISE LIRA CF-SLP
217 ARCADE AVE
ELKHART, IN 46514-2466
Phone number: 574-286-5942