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1619173812
LISA RENEE LASALLE
EAU CLAIRE, WI
NPI
1619173812
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WI 1936 - 154)
Enumeration Date
2007-06-25
Last Update Date
2007-07-08
Business Address
Dr. LISA RENEE LASALLE CCC-SLP, BRFS
516 E GRAND AVE
EAU CLAIRE, WI 54701-3725
Phone number: 715-831-8254
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Mailing Address
Dr. LISA RENEE LASALLE CCC-SLP, BRFS
516 E GRAND AVE
EAU CLAIRE, WI 54701-3725
Phone number: 715-831-8254
Copy
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