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1245350990
SCOTT THOMAS PRENDERGAST
MEDFORD, MA
NPI
1245350990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MA 6790)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
Mr. SCOTT THOMAS PRENDERGAST
200 GOVERNORS AVE
MEDFORD, MA 02155-1644
Phone number: 781-391-5400
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Mailing Address
Mr. SCOTT THOMAS PRENDERGAST
75 PINE ST # 1
DEDHAM, MA 02026-4048
Phone number: 781-308-5531
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