Individual
MRS. LISA J KILLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
10 W CENTRAL ST, NATICK, MA 01760-4537
(617) 817-4005
Mailing address
13 MARSHALL RD, NATICK, MA 01760-2922
(508) 650-0748
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP4540SL
MA
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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