Individual
MRS. THERESA MARIE LETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BED,CEIS
Contact information
Practice address
500 VICTORY RD, QUINCY, MA 02171-3139
(617) 774-1046
Mailing address
324 MANET AVE, QUINCY, MA 02169-3033
(617) 471-6853
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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