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1811194095
LISA WALTON
SOUTH BEND, IN
NPI
1811194095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IN 22003173A)
Enumeration Date
2007-06-29
Last Update Date
2007-07-08
Business Address
-- LISA WALTON SLP
1950 RIDGEDALE RD
SOUTH BEND, IN 46614-2243
Phone number: 574-291-6722
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Mailing Address
-- LISA WALTON SLP
205 E ECKMAN ST
SOUTH BEND, IN 46614-1155
Phone number:
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