Individual
JENNIFER L MARINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/CCC-SLP
Contact information
Practice address
237 MILLBURY ST, WORCESTER, MA 01610-2177
(508) 755-1228
Mailing address
276 POMMOGUSSETT RD, RUTLAND, MA 01543-1403
(508) 450-5105
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8180
MA
Other
Enumeration date
03/26/2011
Last updated
03/26/2011
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