Individual
MISS SHARON LILLIAN FONOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
484 MAIN ST, WORCESTER, MA 01608-1893
(800) 244-2756
(508) 831-9768
Mailing address
484 MAIN STREET, EASTER SEALS MASSACHUSETTS, WORCESTER, MA 01608-1893
(800) 244-2756
(508) 831-9768
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7983
MA
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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