Individual
DORALEE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 PARK AVE STE 412, WORCESTER, MA 01609-1989
(508) 756-5400
Mailing address
410 MASSACHUSETTS AVE, LUNENBURG, MA 01462-1221
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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