Individual
MRS. LISA MICHELLE GENEROUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 865-5555
Mailing address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7366
MA
Other
Enumeration date
04/30/2008
Last updated
10/28/2014
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