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Lisa Wise, MA CCC SLP

NPI 1316072903 · on the registry since 2007

Practice

Address
2200 W Highway 54
Van-Far R-1 School District
Vandalia, MO 63382
Phone
(573) 594-6111
Fax
(573) 594-2878

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-09-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri