Individual
SUSANA DEANDRADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
68 ALLISON AVE, TAUNTON, MA 02780-6958
(508) 880-0202
Mailing address
30 CIERA CIR, TAUNTON, MA 02780-4342
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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