Individual
ANISSA KHOURI DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
20 BERGERON ST, SEEKONK, MA 02771-4202
(401) 258-7873
Mailing address
20 BERGERON ST, SEEKONK, MA 02771-4202
(401) 258-7873
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
77424
MA
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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