Individual
SARAH LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
267 PEMBROKE ST, PEMBROKE, NH 03275-1361
(603) 485-5187
Mailing address
462 FAIRWAY DR, PEMBROKE, NH 03275-3105
(603) 660-0614
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12089093
NH
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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