LISA ANNE FORD

FORT WAYNE, IN
NPI1881975928
Former NameLISA ANNE BREGE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IN  22004887A)
Enumeration Date2011-09-02
Last Update Date2011-09-02
Business Address
-- LISA ANNE FORD SLP
2118 INWOOD DR SUITE 102
FORT WAYNE, IN 46815-7101
Phone number: 260-483-9081
Mailing Address
-- LISA ANNE FORD SLP
2118 INWOOD DR SUITE 102
FORT WAYNE, IN 46815-7101
Phone number: 260-483-9081
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