Individual
MISS JACLENE FORLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
820 TURNPIKE ST STE 104, NORTH ANDOVER, MA 01845-6125
(978) 681-6605
Mailing address
23 ROSEN DR, ENGLISHTOWN, NJ 07726-8429
(908) 670-2590
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
76570
MA
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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