Individual
SANDRA BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
484 MAIN ST, EASTER SEALS MASSACHUSETTS, WORCESTER, MA 01608-1893
(800) 244-2756
(508) 831-9768
Mailing address
128 BAINBRIDGE ST, MALDEN, MA 02148-2956
(303) 888-8410
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-9895-SL
MA
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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