Individual
EMILY ANITA ST.LAURENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 SETTLERS DR, LAKEVILLE, MA 02347-3602
(774) 766-8378
Mailing address
2 SETTLER'S DR., LAKEVILLE, MA 02347
(774) 766-8378
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
S56659928
MA
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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