Individual
LISA DURSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2 ONEILL LANE, SOUTH STRAFFORD, VT 05070
(802) 765-4939
Mailing address
2 ONEILL LN, SHARON, VT 05065-8601
(802) 765-4939
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
VT
Other
Enumeration date
01/02/2007
Last updated
05/09/2011
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