Individual
MRS. DESIRAE CINQUANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCCCSLP
Contact information
Practice address
133 SALEM ST, REVERE, MA 02151-1114
(781) 322-4861
Mailing address
133 SALEM ST, REVERE, MA 02151-1114
(781) 322-4861
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7375
MA
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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