Individual
MRS. MICHELE M LA SALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS CEIS
Contact information
Practice address
68 ALLISON AVE, TAUNTON, MA 02780-6958
(508) 880-2020
Mailing address
68 ALLISON AVE, TAUNTON, MA 02780-6958
(508) 880-2020
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
723
MA
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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