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Individual

ASHLEY MOTTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
24 JENNIFER LANE, PEABODY, MA 01960
(978) 210-4453
Mailing address
24 JENNIFER LANE, PEABODY, MA 01960-4274
(978) 210-4453

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
S41694615
MA

Other

Enumeration date
02/03/2016
Last updated
02/03/2016
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