Individual
HAILEY KOURBAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 WILLARD ST STE 203, QUINCY, MA 02169-1252
(617) 463-9233
(857) 284-8831
Mailing address
40 WILLARD ST STE 203, QUINCY, MA 02169-1252
(617) 463-9233
(857) 284-8831
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
100749
MA
Other
Enumeration date
10/10/2024
Last updated
10/24/2024
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