Individual
MIKAELA L CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS SLP
Contact information
Practice address
105 LAFAYETTE RD, HAMPTON FALLS, NH 03844-2322
(603) 918-1298
Mailing address
501 SHAWMUT AVE UNIT 5, BOSTON, MA 02118-3311
(617) 960-7381
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/23/2018
Last updated
06/23/2018
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