Individual
LISA MOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
950 YOUNGSTOWN WARREN RD, SUITE A, NILES, OH 44446-4644
(330) 505-1606
Mailing address
4529 S TURNER RD, CANFIELD, OH 44406-8739
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP6644
OH
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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