Individual
NICOLE COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
482 BEDFORD ST, LEXINGTON, MA 02420-1402
(781) 216-2999
Mailing address
482 BEDFORD ST, LEXINGTON, MA 02420-1402
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
76556
MA
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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