Individual
JIMMY DUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
90 ROCKLAND ST, HANOVER, MA 02339-2235
(781) 829-9355
Mailing address
5 J A MCDERMOTT CIR, RANDOLPH, MA 02368-2753
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
265058
MA
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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