Individual
KELLY HIRALDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 JOHNSON ST, LYNN, MA 01902-4001
(978) 744-7037
Mailing address
103 JOHNSON ST, LYNN, MA 01902-4001
(978) 744-7037
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
MA
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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