LISA FANFULIK

MAPLE GROVE, MN
NPI1235304114
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MN  8159)
Enumeration Date2008-04-23
Last Update Date2008-04-23
Business Address
-- LISA FANFULIK CCC-SLP
9048 PEONY LN N
MAPLE GROVE, MN 55311-4417
Phone number: 763-416-9313
Mailing Address
-- LISA FANFULIK CCC-SLP
9048 PEONY LN N
MAPLE GROVE, MN 55311-4417
Phone number: 763-416-9313
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