Individual
ALEXANDRA FAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1180 BEACON ST STE 4B, BROOKLINE, MA 02446-3806
(508) 233-3591
Mailing address
258 HARVARD ST # 316, BROOKLINE, MA 02446-2904
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9951
MA
Other
Enumeration date
06/19/2022
Last updated
06/19/2022
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