Individual
JACLYN MARIE EVANGELISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
18 CHESTNUT ST STE 200, WORCESTER, MA 01608-1557
(508) 757-2756
Mailing address
30 CENTRAL DR, STOUGHTON, MA 02072-1805
(508) 468-6788
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP101266
MA
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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