Individual
MRS. ELIZABETH MERRIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 TAUNTON ST, WRENTHAM, MA 02093-1349
(508) 384-7977
Mailing address
68 MARSHALL AVE, MANSFIELD, MA 02048-2858
(508) 284-3041
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6504
MA
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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