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1356687800
LISA SUSAN PRAZAK
CENTRALIA, WA
NPI
1356687800
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Former Name
LISA SUSAN HOFHEIMER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WA LL60280882)
Enumeration Date
2013-01-02
Last Update Date
2013-01-02
Business Address
-- LISA SUSAN PRAZAK SLP
1820 COOKS HILL RD
CENTRALIA, WA 98531
Phone number: 360-330-8720
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Mailing Address
-- LISA SUSAN PRAZAK SLP
914 S. SCHEUBER RD REHAB THERAPIES
CENTRALIA, WA 98531
Phone number: 360-330-8720
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