LISA MADISON

PORTLAND, ME
NPI1700047479
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ME  SP1475)
Enumeration Date2008-06-24
Last Update Date2010-10-27
Business Address
-- LISA MADISON MA CCC/SLP
196 ALLEN AVE
PORTLAND, ME 04103-3711
Phone number: 207-874-8133
Mailing Address
-- LISA MADISON MA CCC/SLP
196 ALLEN AVE
PORTLAND, ME 04103-3711
Phone number: 207-874-8133
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