Individual
MARGARET ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 RUSSELL RD, SOMERVILLE, MA 02144-1514
(203) 216-5808
Mailing address
12 RUSSELL RD, SOMERVILLE, MA 02144-1514
(203) 216-5808
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB465746
MA
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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