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Individual

MS. LESLIE MACDONALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.CCC-SLP

Contact information

Practice address
87 SCHOOL ST, HATFIELD, MA 01038
(401) 454-0006
Mailing address
87 SCHOOL ST, HATFIELD, MA 01038
(401) 454-0006

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7002
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000
MA
Enumeration date
08/07/2014
Last updated
08/07/2014
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