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Individual

CANDICE LINDA LORETTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSED, BCBA, LABA

Contact information

Practice address
227 CHELMSFORD ST STE 13C, CHELMSFORD, MA 01824-2305
(978) 758-2123
Mailing address
227 CHELMSFORD ST STE 13C, CHELMSFORD, MA 01824-2305

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MA
101YM0800X
Mental Health Counselor
MA
103T00000X
Psychologist
MA
104100000X
Social Worker
MA

Other

Enumeration date
06/21/2023
Last updated
06/21/2023
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