Individual
MRS. JACLYNNE SUZANNE BENOIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
130 QUINCY AVE, BROCKTON, MA 02302-2803
(508) 941-7242
Mailing address
20 WASHINGTON ST, UNIT 3-3, NORTH EASTON, MA 02356-1016
(774) 406-0799
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6135
MA
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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