Individual
JAIME NIEDZWIECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
486 WORCESTER ST, KENNEDY DONOVAN CENTER, SOUTHBRIDGE, MA 01550-1386
(508) 765-0292
Mailing address
486 WORCESTER ST, KENNEDY DONOVAN CENTER, SOUTHBRIDGE, MA 01550-1386
(508) 765-0292
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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