Individual
LAUREN KISVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
12 WALNUT ST, UNIT 7, NATICK, MA 01760-3562
(617) 771-7520
Mailing address
12 WALNUT ST, UNIT 7, NATICK, MA 01760-3562
(617) 771-7520
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7206
MA
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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