Individual
ANDREA SERVICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
30 LUSCOMB RD, TAUNTON, MA 02780-4704
(508) 822-4325
Mailing address
70 MAIN ST, TAUNTON, MA 02780-2778
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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