LARISSA LILLIAN LAFAVOR

WEST BEND, WI
NPI1952990848
Other NameLARISSA LILLIAN HARRISON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WI  5108-154)
Enumeration Date2021-01-14
Last Update Date2023-05-09
Business Address
LARISSA LILLIAN LAFAVOR
1700 W PARADISE DR
WEST BEND, WI 53095-9795
Phone number: 262-334-3451
Mailing Address
LARISSA LILLIAN LAFAVOR
1900 AMERICAN EAGLE DR
SLINGER, WI 53086-9043
Phone number: