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1639319015
LISA WAYNE UPTON
WESTPORT, CT
NPI
1639319015
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Former Name
LISA WAYNE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CT 003813)
Enumeration Date
2009-02-25
Last Update Date
2013-06-03
Business Address
-- LISA WAYNE UPTON
728 POST RD E
WESTPORT, CT 06880-5200
Phone number: 203-341-0488
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Mailing Address
-- LISA WAYNE UPTON
1931 BLACK ROCK TPKE
FAIRFIELD, CT 06825-3506
Phone number: 203-384-8681
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