Individual
LAUREN MICHELLE TANKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
36 MECHANIC ST # G1, FOXBORO, MA 02035-4005
(508) 698-7973
(508) 698-1010
Mailing address
16 CHESTNUT STREET, FOXBORO, MA 02035
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
77802
MA
235Z00000X
Speech-Language Pathologist
SP01448
RI
Other
Enumeration date
06/11/2021
Last updated
01/27/2023
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