LISA DIBIASE

CARBONDALE, IL
NPI1487942892
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146.009607)
Enumeration Date2011-07-19
Last Update Date2011-07-19
Business Address
-- LISA DIBIASE SLP
642 MAY APPLE LN
CARBONDALE, IL 62903-7680
Phone number: 618-529-7959
Mailing Address
-- LISA DIBIASE SLP
642 MAY APPLE LN
CARBONDALE, IL 62903-7680
Phone number: 618-529-7959
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