Individual
MRS. BONNY C DEBEAUCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASE MANAGER
Contact information
Practice address
80 ERDMAN WAY # 208, LEOMINSTER, MA 01453-1840
(978) 870-1840
Mailing address
6 CRIMSON CT, LEOMINSTER, MA 01453-4756
(508) 521-2287
(508) 580-5162
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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