Individual
DEBORA JEAN PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA. CCC-SLP
Contact information
Practice address
61 COOPER ST, AGAWAM, MA 01001-2149
(413) 786-8000
(413) 789-2359
Mailing address
3 LYNCH PL, SOUTH HADLEY, MA 01075-2305
(413) 536-0459
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
003272
CT
235Z00000X
Speech-Language Pathologist
Primary
4794
MA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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