Individual
MRS. MARY SHANNON MARCELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
130 CONDOR ST, BOSTON, MA 02128-1305
(617) 569-6560
Mailing address
90 FREMONT ST, WINTHROP, MA 02152-2647
(508) 331-9999
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-8408-SL
MA
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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