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Individual
MISS LISA MARIE BILODEAU
Active
Individual
MISS LISA MARIE BILODEAU
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0614
NEIGHBORHOOD HEALTH PLAN
RI
05
—
ES01788
—
RI
01
—
SB870
BLUE CROSS
RI
Enumeration date
07/27/2015
Last updated
09/03/2020
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