Individual
OLIVIA JACQUELINE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1 LAKER LN, MEREDITH, NH 03253-6321
(603) 279-6162
Mailing address
3000 S NEW RD APT 534, WACO, TX 76706-3872
(407) 408-5826
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
118983
TX
235Z00000X
Speech-Language Pathologist
EL31571
NH
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
08/29/2024
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