Individual
CHANDALEYA S KUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 ANGLE ST APT 3, LOWELL, MA 01851-3341
(978) 677-4669
Mailing address
30 ANGLE ST APT 3, LOWELL, MA 01851-3341
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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