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Individual

MS. LISA JOYCE MELIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4300 WILLIS AVE, PENNSAUKEN, NJ 08109-3304
(856) 665-0835
Mailing address
4300 WILLIS AVE, PENNSAUKEN, NJ 08109-3304
(856) 665-0835

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00356600
NJ

Other

Enumeration date
05/11/2007
Last updated
07/08/2007
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