Female

Mrs. Lissette I. Mcenally ITFS

Developmental Therapist in Garner, NC(View on Map)

Full Name

Mrs. Lissette Ida Mcenally ITFS

NPI Number

1376029561

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/11/2018

Specialties

(Taxonomies)

Code

222Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

911 BROOKS AVE
911 BROOKS AVE

City

Garner
Garner

State

NC
NC

Postal Code

27529-3812
27529-3812

Country

US
US

Telephone Number

(919) 819-1738
(919) 819-1738

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/11/2018

Provider Address

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