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Organization

FIRST STEP EARLY INTERVENTION SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LISA R. JOHNSON CCC-SLP (SPEECH PATHOLOGIST)
(585) 259-5316
Entity
Organization

Contact information

Practice address
4563 RIDGE RD, CANANDAIGUA, NY 14424-9600
(585) 259-5316
(585) 396-7547
Mailing address
4563 RIDGE RD, CANANDAIGUA, NY 14424-9600
(585) 259-5316
(585) 396-7547

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
008351
NY

Other

Enumeration date
06/12/2009
Last updated
07/04/2009
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