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Individual

EKATERINA KOLPAKOVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
18 PINE HILL RD, SWAMPSCOTT, MA 01907-2210
(978) 605-3904
Mailing address
18 PINE HILL RD, SWAMPSCOTT, MA 01907-2210

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP78371
MA
235Z00000X
Speech-Language Pathologist
SP3319
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SLP78371
MA BOARD OF SLP PROVIDERS
MA
01
SP3319
SLP & HEARING BOARD
ME
Enumeration date
03/28/2022
Last updated
10/23/2023
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