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Individual

MARK SPRAGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, CCC-SLP

Contact information

Practice address
640 GEORGE WASHINGTON HIGHWAY, LINCOLN, RI 02865
(401) 359-4898
Mailing address
4 MAPLEWOOD DR, CUMBERLAND, RI 02864-3210
(203) 829-5244

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SLP100827
MA
235Z00000X
Speech-Language Pathologist
Primary
SP00953
RI

Other

Enumeration date
10/05/2009
Last updated
07/01/2025
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