Individual
LACONIA RENEE FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 WILBRAHAM RD, SPRINGFIELD, MA 01109-3161
(413) 285-3145
Mailing address
15 BAY MEADOW RD APT B, SPRINGFIELD, MA 01109-2130
(413) 265-4770
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
02/07/2024
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