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Organization
DOUGLAS A. THOM CLINIC, INC.
Active
Organization
DOUGLAS A. THOM CLINIC, INC.
Active
Other names
Thom Child & Family Services
Organization subpart
No
Provider details
NPI number
Authorized official
GRETCHEN ROWE OWENS (EXECUTIVE DIRECTOR)
(508) 655-5222
Entity
Organization
Contact information
Practice address
126 PHOENIX AVE, BUILDING #2, LOWELL, MA 01852-4931
(978) 453-8331
(978) 453-9254
Mailing address
251 W CENTRAL ST, SUITE 22, NATICK, MA 01760-3758
(508) 655-5222
(508) 655-9737
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
008838
MA
Other
Enumeration date
06/25/2006
Last updated
05/01/2017
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