Individual
CARMEN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
132 ROBBS HILL RD, LUNENBURG, MA 01462-2167
(617) 852-2668
Mailing address
64 DEAN ST, EVERETT, MA 02149-2815
(617) 852-2668
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/06/2019
Last updated
07/25/2019
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