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1912045402
LISA W BYWATER
WEST HARTFORD, CT
NPI
1912045402
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CT 03378709)
Enumeration Date
2007-02-05
Last Update Date
2007-07-08
Business Address
Mrs. LISA W BYWATER M.S.
139 N MAIN ST
WEST HARTFORD, CT 06107-1264
Phone number: 860-570-2399
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Mailing Address
Mrs. LISA W BYWATER M.S.
108 WHITMAN AVE
WEST HARTFORD, CT 06107-1754
Phone number: 860-521-2646
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