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Organization
SOUTH EAST CENTER FOR SWALLOWING AND COMMUNICATION DISORDERS, PC
Active
Organization
SOUTH EAST CENTER FOR SWALLOWING AND COMMUNICATION DISORDERS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN L FITZGERALD MS-CCC-SLP (PRESIDENT)
(508) 991-2332
Entity
Organization
Contact information
Practice address
92 GRAPE ST, UNIT 1, NEW BEDFORD, MA 02740-2143
(508) 991-2332
(508) 991-8437
Mailing address
92 GRAPE ST, UNIT 1, NEW BEDFORD, MA 02740-2143
(508) 991-2332
(508) 991-8437
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9737570
—
MA
Enumeration date
09/12/2008
Last updated
11/04/2008
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