JENNIFER VIDAL

SOMERVILLE, MA
NPI1568979011
Former NameJENNIFER TRUBIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MA  77234)
Enumeration Date2018-01-05
Last Update Date2019-10-10
Business Address
JENNIFER VIDAL CCC-SLP
5 MIDDLESEX AVE
SOMERVILLE, MA 02145-1102
Phone number: 617-591-4602
Mailing Address
JENNIFER VIDAL CCC-SLP
407 D ST UNIT 316
BOSTON, MA 02210-1943
Phone number: 908-399-6965
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