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Individual

MARGARET DEANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1153 CENTRE ST, JAMAICA PLAIN, MA 02130-3446
(617) 983-7000
Mailing address
830 E 2ND ST, BOSTON, MA 02127-6690
(617) 272-6027

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
078153
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
078153
MA SLP LICENSE
MA
01
14394814
ASHA CCC
Enumeration date
07/19/2022
Last updated
07/19/2022
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