Individual
DIANNE GILLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 LOU COURTNEY DRIVE, RANDOLPH, MA 02368
(781) 961-6256
Mailing address
19 PICTUN RD, RANDOLPH, MA 02368-3810
(781) 986-5909
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1685-W
MA
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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