LISA LYNNE PETRASS

FORT WAYNE, IN
NPI1245458827
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IN  22002846A)
Enumeration Date2007-04-21
Last Update Date2007-07-08
Business Address
-- LISA LYNNE PETRASS M.A. Ed. C.C.C.-SLP
9811 SARATOGA RD
FORT WAYNE, IN 46804-7039
Phone number: 260-602-2924
Mailing Address
-- LISA LYNNE PETRASS M.A. Ed. C.C.C.-SLP
9811 SARATOGA RD
FORT WAYNE, IN 46804-7039
Phone number: 260-602-2924
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