Individual
DENISE C LYDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
317 HOPE ST, MANSFIELD, MA 02048-1501
(508) 345-6192
Mailing address
317 HOPE ST, MANSFIELD, MA 02048-1501
(508) 337-3105
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5427
MA
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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