Individual
RUTH CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 JOHNSON ST, LYNN, MA 01902-4001
(781) 593-2727
Mailing address
20 NOTTINGHAM RD, LYNNFIELD, MA 01940-2251
(781) 334-5999
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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