Individual
MRS. TRACEY SARDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 MAIN ST APT 3, CHARLESTOWN, MA 02129-3511
(617) 580-8183
Mailing address
102 MAIN ST APT 3, CHARLESTOWN, MA 02129-3511
(617) 580-8183
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4200
MA
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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