Individual
KAREN MARISA DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 GREENWOOD ST STE A, SUITE B, WORCESTER, MA 01607-1767
(508) 363-0200
Mailing address
17 PARIS AVE, WORCESTER, MA 01603-1659
(203) 376-4982
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
92813207
VT
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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