Individual
IVY KUBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 WHITTIER PL APT 10D, BOSTON, MA 02114-1405
(617) 549-1825
Mailing address
6 WHITTIER PL APT 10D, BOSTON, MA 02114-1405
(617) 549-1825
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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