Individual
MARLENE WACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
484 MAIN ST, EASTER SEALS MASSACHUSETTS, WORCESTER, MA 01608-1893
(800) 244-2756
Mailing address
72 EUSTON RD, #109, BRIGHTON, MA 02135-4143
(401) 374-5625
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8302
MA
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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