Individual
MS. MARNIE SUZANNE MILLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
150 WEST STREET, NEEDHAM, MA 02494-1319
(781) 726-6209
(781) 726-6212
Mailing address
150 WEST STREET, NEEDHAM, MA 02494-1319
(781) 726-6209
(781) 726-6212
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
12012226
—
235Z00000X
Speech-Language Pathologist
Primary
4933
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP0091
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/18/2008
Last updated
03/18/2008
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