Individual
MRS. LAURIE JEAN JARUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
126 BLUEJAY LN, EAST TAUNTON, MA 02718-5130
(508) 821-9643
Mailing address
126 BLUEJAY LN, EAST TAUNTON, MA 02718-5130
(508) 821-9643
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
S67139123
MA
Other
Enumeration date
11/28/2010
Last updated
11/28/2010
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