Individual
LISAMARIE BARBOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 SOUTHSIDE RD, DANVERS, MA 01923-1409
(978) 762-8352
Mailing address
29 EASTMAN ST, DORCHESTER, MA 02125-2210
(617) 291-9024
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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