Individual
RILEY DICENSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 TYLER ST, SOMERVILLE, MA 02143-3241
(617) 629-3919
Mailing address
81 TAYLOR ST, PEMBROKE, MA 02359-2803
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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