Individual
MRS. LISA ANN RALSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S., M.ED.
Contact information
Practice address
2308 BELMAR DR, JEFFERSONVILLE, IN 47130-9539
(502) 939-7485
Mailing address
2308 BELMAR DR, JEFFERSONVILLE, IN 47130-9539
(502) 939-7485
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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