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Individual

DANA GUDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
6 LYDIA LN, MILFORD, MA 01757-5116
(315) 404-1144
Mailing address
6 LYDIA LN, MILFORD, MA 01757-5116
(315) 404-1144

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
019145-1
NY
235Z00000X
Speech-Language Pathologist
Primary
8233
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30-0213081
TAX ID
NY
Enumeration date
09/03/2009
Last updated
02/08/2021
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