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Individual

KERRY ELLEN EGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
411 WAVERLEY OAKS RD, BUILDING # 3, SUITE 305, WALTHAM, MA 02452-8448
(781) 894-6464
Mailing address
411 WAVERLEY OAKS RD, BUILDING # 3, SUITE 305, WALTHAM, MA 02452-8448
(781) 894-6464

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7835
MA

Other

Enumeration date
11/17/2009
Last updated
02/04/2013
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