Individual
LAUREN MANGOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
74 BRIDGE ST, NEWTON, MA 02458-1147
(617) 969-4410
Mailing address
74 BRIDGE ST, NEWTON, MA 02458-1147
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9287
MA
Other
Enumeration date
05/22/2015
Last updated
09/21/2016
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