Individual
MRS. KRISTIN MARIE CONZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
977 MAIN ST, WALTHAM, MA 02451-7406
(781) 899-4709
Mailing address
97 CIRCLE DR, WALTHAM, MA 02452-5731
(781) 891-0521
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6102
MA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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