Individual
DANIELLE SAMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
793 WASHINGTON ST, CANTON, MA 02021-3023
(781) 205-9304
Mailing address
793 WASHINGTON ST, CANTON, MA 02021-3023
(781) 205-9304
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/06/2021
Last updated
11/21/2023
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