Individual
GUEMALI MADERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
100 CUMMINGS CTR, 135H, BEVERLY, MA 01915-6115
(978) 972-0172
Mailing address
84 LAWRENCE ST, METHUEN, MA 01844-4453
(716) 238-4908
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8194
MA
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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