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Organization

CREATIVE CONNECTIONS PEDIATRICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARA NUSSBAUM MS, CCC-SLP (SPEECH LANGUAGE PATHOLOGIST/OWNER)
(847) 220-9807
Entity
Organization

Contact information

Practice address
21 CHARLES ST APT 507, CAMBRIDGE, MA 02141-2372
(617) 468-8464
Mailing address
176 WINTHROP RD APT 1, BROOKLINE, MA 02445-4618

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
05/06/2022
Last updated
09/13/2023
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