Individual
MRS. MARYANN WISNIEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
80 DEACONESS RD, CONCORD, MA 01742-4113
(508) 487-7090
Mailing address
24 PHEASANT RUN RD, HARWICH, MA 02645-1531
(508) 432-7811
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2635
MA
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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