Individual
LAURA MASCIULLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
182 W MAIN ST, CONWAY, NH 03818-6140
(603) 447-6356
Mailing address
PO BOX 765, INTERVALE, NH 03845-0765
(781) 264-7672
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
P-0942
NH
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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