Individual
JENNA M LOCONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 SOUTHSIDE RD, DANVERS, MA 01923-1409
(197) 876-2835
Mailing address
15 WEST ST, STONEHAM, MA 02180-2344
(978) 762-8352
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
S34404940
MA
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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