Individual
MRS. LISA ANN GOSSELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
64 INDUSTRIAL PARK RD, PLYMOUTH, MA 02360-4881
(508) 747-2012
Mailing address
45 CLEARING FARM RD., KINGSTON, MA 02364
(781) 585-2927
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
552
MA
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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