Individual
ANDREA MARIE KORALISHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
360 MERRIMACK ST, LAWRENCE, MA 01843-1740
(978) 620-0290
Mailing address
50 COPLEY DR, METHUEN, MA 01844-1746
(978) 852-1564
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
MA
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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