JESSICA LAKE

BELMONT, MA
NPI1437708963
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MA  SLP100165)
Enumeration Date2019-09-07
Last Update Date2024-02-15
Business Address
JESSICA LAKE
93 SLADE ST
BELMONT, MA 02478
Phone number: 310-903-1034
Mailing Address
JESSICA LAKE
93 SLADE ST
BELMONT, MA 02478-2225
Phone number: 310-903-1034
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