Individual
MIKA GENATOSSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 JACKSON ST FL 4, LOWELL, MA 01852-2103
(978) 677-7608
Mailing address
101 JACKSON ST FL 4, LOWELL, MA 01852-2103
(978) 677-7608
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
78284-SP-SL
MA
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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