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Individual

LISA CRAGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
333 FOUNDRY ST, NEW MARTINSVILLE, WV 26155-1142
(304) 231-3820
Mailing address
333 FOUNDRY ST, NEW MARTINSVILLE, WV 26155-1142

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
L5A137400253
WV

Other

Enumeration date
09/08/2014
Last updated
09/08/2014
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