Individual
MS. JESSICA MARY AULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 MARKET ST, LYNN, MA 01901-1125
(781) 592-5691
(781) 595-4393
Mailing address
20 LIVINGSTONE AVE, P. O. BOX 472, BEVERLY, MA 01915-2918
(781) 592-5691
(781) 595-4393
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
S26098983
MA
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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