Individual
AMANDA J SLIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
804 PLEASANT ST, BROCKTON, MA 02301-3055
(508) 583-6000
Mailing address
804 PLEASANT ST, BROCKTON, MA 02301-3055
(508) 583-6000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7859
MA
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
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