Individual
ELISSA YANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 EVERETT ST, NATICK, MA 01760-5501
(617) 930-1150
Mailing address
55 EVERETT ST, NATICK, MA 01760-5501
(617) 930-1150
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1574
MA
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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