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Individual

MS. ISABEL ROSA GENDREAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
484 WORCESTER ST, SOUTHBRIDGE, MA 01550-1409
(774) 318-1806
Mailing address
49 OFF HARRINGTON ST, SOUTHBRIDGE, MA 01550-1349
(774) 601-9525

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
MA

Other

Enumeration date
09/15/2023
Last updated
09/15/2023
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