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Individual

MR. GLENN WILLIAM BUNTING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S.

Contact information

Practice address
243 CHARLES ST, VOICE & SPEECH LABORATORY 11TH FLOOR, BOSTON, MA 02114-3002
(617) 573-4455
(617) 573-4060
Mailing address
132 CANTON ST, NORTH EASTON, MA 02356-1350
(617) 573-4455
(617) 573-4060

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
175
MA

Other

Enumeration date
03/31/2013
Last updated
03/31/2013
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