Individual
JACQUELINE MALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
338 PLANTATION ST, WORCESTER, MA 01604-1696
(508) 770-0089
Mailing address
338 PLANTATION ST, WORCESTER, MA 01604-1696
(508) 770-0089
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14342561
MA
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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