Individual
DORCAS MWATHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111B MAIN ST, SOUTH GRAFTON, MA 01560-1120
(508) 665-8070
Mailing address
111B MAIN ST, SOUTH GRAFTON, MA 01560-1120
(508) 665-8070
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MTN961007140
BLUE CROSS, BLUE SHIELD
MA
Enumeration date
03/21/2019
Last updated
03/21/2019
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