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Individual

MS. LUCIANA RUSSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCC-SLP

Contact information

Practice address
30 WEBSTER ST, BROOKLINE, MA 02446-4938
(617) 734-2300
Mailing address
50 BROOK ST, BROOKLINE, MA 02445-6914
(617) 232-7108

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3492
MA

Other

Enumeration date
04/22/2007
Last updated
07/08/2007
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