Individual
MEG FRANCES FAVULLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 OTIS ST, NORTHBOROUGH, MA 01532-2459
(508) 898-2688
Mailing address
83 BUMBLE BEE CIR, SHREWSBURY, MA 01545-3213
(508) 365-7590
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
77328
MA
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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