Individual
MRS. TINA ROSE CODERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-A
Contact information
Practice address
281 LINCOLN ST, WORCESTER, MA 01605-2138
(508) 334-8726
(508) 334-8751
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
43
MA
Other
Enumeration date
12/12/2006
Last updated
12/10/2020
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