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1194022129
AMY KATHERINE EBERSOLE
WALTHAM, MA
NPI
1194022129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MA 7731)
Enumeration Date
2011-02-28
Last Update Date
2011-02-28
Business Address
Ms. AMY KATHERINE EBERSOLE
411 WAVERLEY OAKS RD SUITE 305
WALTHAM, MA 02452-8448
Phone number: 781-894-6564
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Mailing Address
Ms. AMY KATHERINE EBERSOLE
441 WAVERLY OAKS RD BUILDING #3, SUITE 305
WALTHAM, MA 02452
Phone number: 781-894-6564
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