Individual
LAURIE SUE DENNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
186 W SPRING ST, VINEYARD HAVEN, MA 02568-6310
(978) 902-0581
Mailing address
186 W SPRING ST, VINEYARD HAVEN, MA 02568-6310
(978) 902-0581
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
591
MA
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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