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1265716245
LAURA LICUANAN
LEXINGTON, MA
NPI
1265716245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MA 8086)
Enumeration Date
2011-10-07
Last Update Date
2011-10-07
Business Address
-- LAURA LICUANAN M.S., CCC-SLP
4 MILITIA DRIVE INSTITUTE FOR LEARNING AND DEVELOPMENT
LEXINGTON, MA 02421
Phone number: 864-230-0495
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Mailing Address
-- LAURA LICUANAN M.S., CCC-SLP
123 TRENTON ST APT 1
EAST BOSTON, MA 02128-2536
Phone number: 864-230-0495
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