Individual
BARBARA SOUTHCOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 RIDGE RD, CONCORD, MA 01742-2618
(781) 249-5052
Mailing address
24 RIDGE ROAD, CONCORD, MA 01742
(781) 249-5052
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3750
MA
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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