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Individual

ABBY R CARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
109 OAK ST # G20, NEWTON, MA 02464-1492
(617) 658-5611
Mailing address
19 MAPLE AVE APT A, WEST WARWICK, RI 02893-4437
(401) 347-5407

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
05/30/2019
Last updated
05/26/2021
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