Individual
KACIE BAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S./NCSP
Contact information
Practice address
52 CHARLTON ST, SOUTHBRIDGE, MA 01550-1910
(508) 765-9101
Mailing address
51 NELLIGAN TERRACE, WARREN, MA 01083-0543
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
MA
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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