Individual
LISA J SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
500 WILBUR AVE, SOMERSET, MA 02725-2051
(508) 675-7589
(508) 675-0132
Mailing address
500 WILBUR AVE, SOMERSET, MA 02725-2051
(508) 675-7589
(508) 675-0132
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4762
MA
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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