LISA LARSON

NEW PROVIDENCE, NJ
NPI1609301407
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NJ  41YS00882400)
Enumeration Date2017-04-29
Last Update Date2017-06-14
Business Address
-- LISA LARSON
535 MOUNTAIN AVE
NEW PROVIDENCE, NJ 07974-2002
Phone number: 908-295-5608
Mailing Address
-- LISA LARSON
47 WHITNEY DR
BERKELEY HEIGHTS, NJ 07922-2515
Phone number:
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