Individual
MRS. KATHERINE JO THIBOUTOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
103 RICE RD, QUINCY, MA 02170-3515
(617) 472-6677
Mailing address
103 RICE RD, QUINCY, MA 02170-3515
(617) 472-6677
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6399
MA
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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