Individual
MS. JEANINE LEA MINDRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA-CCC-SLP
Contact information
Practice address
214 LAKE ST, CHILD DEVELOPMENT CENTER, SHREWSBURY, MA 01545-3960
(508) 856-4202
(508) 845-2783
Mailing address
24 RUGGLES ST, #2, WESTBOROUGH, MA 01581-2036
(508) 366-1190
(508) 845-2783
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2743
MA
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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