Individual
MELISSA ANN FAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
31 TOWN FARM RD, WESTMINSTER, MA 01473-1004
(617) 803-7181
Mailing address
31 TOWN FARM RD, WESTMINSTER, MA 01473-1004
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6308
MA
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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