Individual
DANIELLE BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
28 MURRAY ST, PEABODY, MA 01960-2327
(508) 314-5831
Mailing address
28 MURRAY ST, PEABODY, MA 01960-2327
(508) 314-5831
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7699
MA
Other
Enumeration date
05/10/2012
Last updated
10/24/2024
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