Individual
MRS. LISA OLIVER O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.CCC/SLP
Contact information
Practice address
2470 FAIRVIEW FARM RD, ASHEBORO, NC 27205-8633
(336) 803-3385
Mailing address
2470 FAIRVIEW FARM RD, ASHEBORO, NC 27205-8633
(336) 803-3385
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2312
NC
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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