Individual
LISA M MOWRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC
Contact information
Practice address
1 ABRAHMS BLVD, WEST HARTFORD, CT 06117-1508
(860) 523-3860
(860) 523-3819
Mailing address
200 NORTON RD, KENSINGTON, CT 06037-2922
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001725
CT
Other
Enumeration date
03/24/2007
Last updated
09/07/2011
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