Individual
CARLY ISABELLA LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37 ROCKLAND ST, QUINCY, MA 02169-3436
(908) 499-7903
Mailing address
37 ROCKLAND ST, QUINCY, MA 02169-3436
(908) 499-7903
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
78202
MA
235Z00000X
Speech-Language Pathologist
Primary
SP-2057
HI
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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