Individual
MRS. KRISTY COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
484 MAIN ST, EASTER SEALS MASSACHUSETTS, WORCESTER, MA 01608-1893
(800) 244-2756
Mailing address
46 WILDFLOWER LN, PLYMOUTH, MA 02360-7757
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6536
MA
Other
Enumeration date
07/03/2007
Last updated
06/17/2008
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