Individual
MS. ELIZABETH ESTHER LOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
265 N MAIN ST, SOUTH YARMOUTH, MA 02664-2083
(508) 394-3514
Mailing address
265 N MAIN ST, SOUTH YARMOUTH, MA 02664-2083
(508) 394-3514
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4776
MA
235Z00000X
Speech-Language Pathologist
SA 10386
FL
Other
Enumeration date
02/21/2011
Last updated
02/21/2011
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