Individual
TINA M CHILLIEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
24 MASSACHUSETTS AVE, LUNENBURG, MA 01462-1273
(508) 344-0164
Mailing address
65 OLEAN ST, WORCESTER, MA 01602-4118
(508) 344-0164
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8242
MA
Other
Enumeration date
01/23/2013
Last updated
04/11/2018
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