Individual
GRACE ELIZABETH BURLESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43 CHARTER ST APT 3, BOSTON, MA 02113-2501
(860) 581-3771
Mailing address
43 CHARTER ST APT 3, BOSTON, MA 02113-2501
(860) 581-3771
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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