Individual
JANE LUCILIA MORAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
152 WENTWORTH AVE, CRANSTON, RI 02905-2704
(781) 332-2594
Mailing address
152 WENTWORTH AVE, CRANSTON, RI 02905-2704
(781) 332-2594
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MA
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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