Individual
MS. LORI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 CHESTNUT ST, WORCESTER, MA 01608-2898
(774) 317-6700
Mailing address
22 MAPLE ST, AUBURN, MA 01501-1310
(508) 847-0177
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4697
MA
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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