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Organization

CHILD TALK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANN E DENSMORE ED.D., CCC SLP/A (DIRECTOR)
(617) 497-9222
Entity
Organization

Contact information

Practice address
271 LINCOLN ST, SUITE 1, LEXINGTON, MA 02421
(617) 497-9222
(617) 497-0422
Mailing address
271 LINCOLN ST, SUITE 1, LEXINGTON, MA 02421
(617) 497-9222
(617) 497-0422

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
4050
MA
235Z00000X
Speech-Language Pathologist
Primary
3542
MA

Other

Enumeration date
11/08/2011
Last updated
04/17/2020
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