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Individual
LISA SQUADRITO
Active
Individual
LISA SQUADRITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
21638
CA
235Z00000X
Speech-Language Pathologist
LL00003737
WA
Other
Enumeration date
02/25/2007
Last updated
06/28/2021
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