Individual
MRS. SARAH RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
43 RIVER AVE, NEWTON UPPER FALLS, MA 02464
(773) 505-5047
Mailing address
43 RIVER AVE, NEWTON UPPER FALLS, MA 02464-1324
(773) 505-5047
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8161
MA
Other
Enumeration date
01/14/2011
Last updated
01/14/2011
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