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Individual

ANNE EDITH EISENGART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
124 WATERTOWN ST, SUITE 1, WATERTOWN, MA 02472
(617) 923-4410
(617) 923-0468
Mailing address
124 WATERTOWN ST, SUITE 1, WATERTOWN, MA 02472
(617) 923-4410
(617) 923-0468

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2424
MA

Other

Enumeration date
10/19/2010
Last updated
10/19/2010
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