Individual
TRACY GUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
213 SPRINGVALE AVE, EVERETT, MA 02149
(617) 510-7024
Mailing address
213 SPRINGVALE AVE, EVERETT, MA 02149
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14072863
MA
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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