Individual
JEAN M IRVING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC/SLP
Contact information
Practice address
1021 METHUEN ST, DRACUT, MA 01826-5319
(978) 459-6186
Mailing address
31 HATHAWAY RD, WILMINGTON, MA 01887-1523
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4592
MA
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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