Individual
INDIGO BURFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
95 EASTERN AVE STE 8, DEDHAM, MA 02026-4582
(617) 996-1210
Mailing address
93 BROOKSIDE AVE APT 2, BOSTON, MA 02130-2647
(828) 776-5356
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP96180
MA
Other
Enumeration date
02/09/2024
Last updated
03/13/2024
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