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Individual

THAYS ANGELICA LIZASO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1350 UPSHUR ST NW, WASHINGTON, DC 20011
(202) 671-6270
Mailing address
1350 UPSHUR ST NW, WASHINGTON, DC 20011
(202) 671-6270

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP000712
DC

Other

Enumeration date
11/14/2013
Last updated
11/14/2013
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