Individual
VANESSA FUJIMOTO CENTENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1204 MAIN ST, BRANFORD, CT 06405-3787
(617) 909-0887
Mailing address
108 SHARON ST, MEDFORD, MA 02155-3584
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP100561
MA
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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