Individual
MISS LISA MARIE MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1305 ALEXANDER STREET, RIVERSIDE NURSING AND REHABILITATION CENTER, CENTRALIA, WA 98531
(360) 736-5012
Mailing address
1305 ALEXANDER STREET, RIVERSIDE NURSING AND REHABILITATION CENTER, CENTRALIA, WA 98531
(360) 736-5012
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00004517
WA
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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