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Individual

MS. ELSA ASCENSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
17 BROAD ST, #1, LYNN, MA 01902-5001
(617) 678-8855
Mailing address
17 BROAD ST, #1, LYNN, MA 01902-5001
(617) 678-8855

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6268
MA

Other

Enumeration date
07/03/2012
Last updated
07/03/2012
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