Individual
MARY ELLEN D'AGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
33 1/2 ESSEX ST, CAMBRIDGE, MA 02139-2647
(203) 506-8654
Mailing address
33 1/2 ESSEX ST, CAMBRIDGE, MA 02139-2647
(203) 506-8654
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7807
MA
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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