Individual
MISS KATHERINE ROSE GROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 422-4022
Mailing address
55 LAKE AVE N, WORCESTER, MA 01655-0002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
78031
MA
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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