Individual
LAUREN MARIE RUNKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
751 GRANITE ST, BRAINTREE, MA 02184-5328
(781) 380-4360
Mailing address
690 WOODBINE DR, SAN RAFAEL, CA 94903-2430
(401) 741-2315
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8533
MA
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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