Individual
JOEL KRUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
65 COOPER ST, AGAWAM, MA 01001-2149
(141) 378-6800
Mailing address
65 COOPER ST, AGAWAM, MA 01001-2149
(141) 378-6800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-9141-SL
MA
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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