Individual
LISA HENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 MILL ST, MARION, MA 02738-1546
(508) 748-3830
Mailing address
19 WILLIAMS DR, CARVER, MA 02330-1383
(508) 930-2820
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3744
MA
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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