Individual
LISA MARIE MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
270 PIERCE ST STE 302, KINGSTON, PA 18704-5141
(570) 574-8298
Mailing address
270 PIERCE ST STE 302, KINGSTON, PA 18704-5141
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/07/2018
Last updated
03/25/2020
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