Individual
MRS. LISA OLSON DAVOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
355 HARLEM RD, WEST SENECA, NY 14224-1825
(716) 821-7023
Mailing address
PO BOX 491, ELMA, NY 14059-0491
(716) 812-0053
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
NY
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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