Individual
KIMBERLY CLARK LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
68 HARVARD ST, BROOKLINE, MA 02445-7991
(617) 487-4345
(617) 487-4860
Mailing address
68 HARVARD ST, BROOKLINE, MA 02445-7991
(617) 487-4345
(617) 487-4860
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242003236
IL
Other
Enumeration date
10/14/2014
Last updated
06/23/2015
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