Individual
ELLEN GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
465 WAVERLY OAKS RD STE 101, WALTHAM, MA 02452-8497
(781) 894-6564
Mailing address
465 WAVERLEY OAKS RD STE 101, WALTHAM, MA 02452-8497
(781) 894-6564
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MA
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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