Individual
JENNA LEE PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
751 GRANITE ST, BRAINTREE, MA 02184-5328
(781) 380-4360
Mailing address
751 GRANITE ST, BRAINTREE, MA 02184-5328
(781) 380-4360
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8190
MA
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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