Individual
JILL N PETRUCHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
100 MAIN ST, NORTH EASTON, MA 02356-1409
(508) 238-1360
(508) 238-1372
Mailing address
100 MAIN ST, NORTH EASTON, MA 02356-1409
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7998
MA
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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