Individual
JACQUELINE TOSCANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 OCEAN AVE, REVERE, MA 02151-3675
(781) 485-6175
Mailing address
21 WESTGATE RD APT 1, CHESTNUT HILL, MA 02467-3430
(516) 459-8696
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL014171
PA
Other
Enumeration date
12/11/2018
Last updated
09/08/2021
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