Individual
LAURI CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136 WILLIAM ST, SPRINGFIELD, MA 01105-2324
(413) 788-2171
Mailing address
136 WILLIAM ST, SPRINGFIELD, MA 01105-2324
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5164
MA
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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