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Individual

ABIGAIL ELIZABETH LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
91 DUTTON ST UNIT 103, LOWELL, MA 01852-1027
(781) 730-2566
Mailing address
103 DUDLEY RD, BILLERICA, MA 01821-4143
(781) 382-8939

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/01/2024
Last updated
02/01/2024
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