Individual
RUTH XIMENA LIEVANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
785 MAIN ST, CONCORD, MA 01742-3310
(978) 369-8392
Mailing address
8 ASSABET XING, ACTON, MA 01720-5237
(978) 298-5184
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4224
MA
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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