LISA A MIXON

UTICA, NY
NPI1740550102
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TS0200X Psychologist, School
(Licence: NY  2185967)
Enumeration Date2012-01-03
Last Update Date2012-01-03
Business Address
-- LISA A MIXON
130 LOMOND CT
UTICA, NY 13502-5951
Phone number: 315-724-4286
Mailing Address
-- LISA A MIXON
130 LOMOND CT
UTICA, NY 13502-5951
Phone number: 315-724-4286
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