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Individual

MR. JORDAN S PIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
597 HIGH ST, DEDHAM, MA 02026-1863
(781) 329-2262
(781) 329-2207
Mailing address
26 LINDEN PL APT 2, BROOKLINE, MA 02445-7815
(617) 943-3780
(781) 329-2207

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7398
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7398
MASS STATE LICENSE #
MA
Enumeration date
03/20/2008
Last updated
03/20/2008
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