Individual
MARYANN MACDOUGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
7 PURVIS ST, WATERTOWN, MA 02472-1757
(617) 926-9863
Mailing address
7 PURVIS ST, WATERTOWN, MA 02472-1757
(617) 926-9863
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
866
MA
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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