Individual
MRS. CHARLOTTE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
22 RIVER RD, PEPPERELL, MA 01463-1645
(978) 433-6559
Mailing address
22 RIVER RD, PEPPERELL, MA 01463-1645
(978) 433-6559
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/07/2007
Last updated
01/11/2008
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