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Individual

MISS KAITLIN JOHNSON CANHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
555 AMORY ST, JAMAICA PLAIN, MA 02130-2652
(617) 383-6522
(617) 383-6520
Mailing address
32 ELM LN, BARRINGTON, RI 02806-3330
(401) 595-3042

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
06/01/2009
Last updated
06/01/2009
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