Individual
LARAINE BAUTZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
171 WOLLASTON AVE, ARLINGTON, MA 02476-7157
(781) 859-9767
Mailing address
171 WOLLASTON AVE, ARLINGTON, MA 02476-7157
(781) 859-9767
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
025214-01
NY
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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