Individual
MARISA J MICHETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
87 ELM ST STE 2, HOPKINTON, MA 01748-1638
(265) 802-3104
Mailing address
11 LAKEVIEW GDNS APT 211, NATICK, MA 01760-2630
(508) 245-9791
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7674
MA
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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