Individual
KATHLEEN SHIPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
484 MAIN ST, WORCESTER, MA 01608-1893
(800) 244-2756
Mailing address
EASTER SEALS MASSACHUSETTS, 484 MAIN STREET, WORCESTER, MA 01608
(800) 244-2756
(508) 831-9768
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5939
MA
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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