Individual
JESSICA OUELLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
68 ALLISON AVE, TAUNTON, MA 02780-6958
(508) 880-0202
(508) 880-2425
Mailing address
35 ROBERGE ST, SOMERSET, MA 02726-4532
(774) 644-4128
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
S26781611
MA
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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