Individual
JESSICA MARY TABAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1039 MARION ST, NEW BEDFORD, MA 02745-3003
(508) 406-1493
Mailing address
1039 MARION ST, NEW BEDFORD, MA 02745-3003
(508) 406-1493
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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