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Individual

JESSICA ELAINE WU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCC-SLP

Contact information

Practice address
30 PRINCETON BLVD, LOWELL, MA 01851-2405
(978) 454-8086
Mailing address
30 PRINCETON BLVD, LOWELL, MA 01851-2405
(978) 454-8086

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8001
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8001
BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
MA
Enumeration date
08/26/2010
Last updated
08/26/2010
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