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Individual

MRS. LISA CORRINE PETERSON-ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLPA

Contact information

Practice address
2715 LILAC ST, LONGVIEW, WA 98632-3526
(360) 575-7500
Mailing address
120 PENNY LANE, KELSO, WA 98626-1881
(360) 430-4919

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary

Other

Enumeration date
11/16/2012
Last updated
11/16/2012
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