Individual
JENNA RAPHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
324 CLARK ST, WORCESTER, MA 01606-1214
(508) 752-3969
Mailing address
22 MOUNT CARMEL WAY UNIT 372, WORCESTER, MA 01605-4155
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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