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1881192136
LISA FLEMING BANNISTER
WEST MONROE, LA
NPI
1881192136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 4577)
Enumeration Date
2018-01-31
Last Update Date
2018-01-31
Business Address
LISA FLEMING BANNISTER MA CCC-SLP
107 CONTEMPO AVE STE 1
WEST MONROE, LA 71291-5382
Phone number: 318-381-8520
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Mailing Address
LISA FLEMING BANNISTER MA CCC-SLP
204 CHANTILLY DR
WEST MONROE, LA 71291-4704
Phone number:
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