Individual
MISS JESSICA SARA BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 FORTUNE BLVD, MILFORD, MA 01757-1723
(781) 321-0645
Mailing address
758 HUNTINGTON AVE, #3, BOSTON, MA 02115-6323
(401) 714-4874
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/25/2011
Last updated
04/04/2013
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