Individual
LISA MARIE MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
200 GOVERNORS AVE, MEDFORD, MA 02155-1644
(781) 391-5400
Mailing address
233 PARK ST, NORTH READING, MA 01864-3230
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6999
MA
Other
Enumeration date
03/13/2007
Last updated
01/22/2014
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