Individual
BETSAIDA FORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
319 WILDER ST, LOWELL, MA 01851-1731
(978) 452-4522
(978) 452-6522
Mailing address
319 WILDER ST, LOWELL, MA 01851-1731
(978) 452-4522
(978) 452-6522
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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