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Individual

MISS RACHAEL LAUREN LEVY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
869 MAIN ST STE 4A, WALPOLE, MA 02081-2985
(508) 734-3369
(949) 798-7216
Mailing address
869 MAIN ST STE 4A, WALPOLE, MA 02081-2985
(508) 734-3369
(949) 798-7216

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
8906
MA
235Z00000X
Speech-Language Pathologist
Primary
SP-8906-SL
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
NONE
Enumeration date
06/17/2013
Last updated
03/19/2020
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