Individual
ALEXANDRA MARIE D'AGOSTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
74 BRIDGE ST, NEWTON, MA 02458-1147
(617) 969-4410
Mailing address
378 NORTH ST APT 2, BOSTON, MA 02113-2143
(203) 912-6100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9991
MA
Other
Enumeration date
06/02/2017
Last updated
06/02/2017
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