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Individual

SARAH JACQUES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1 POSA PLACE, DARTMOUTH, MA 02747-2511
(508) 996-3391
(508) 996-3397
Mailing address
235 TREMONT ST, NEW BEDFORD, MA 02740-3715
(508) 272-3215

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6731
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000032298
BMC
MA
Enumeration date
02/28/2007
Last updated
07/08/2007
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