Individual
EMILY BOSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 LAKE ST, GARDNER, MA 01440-3879
(978) 632-4432
Mailing address
31 LAKE ST, GARDNER, MA 01440-3879
(978) 632-4432
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7655
MA
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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