Individual
GIANPIERO DE MARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
116 SUMMER ST, HAVERHILL, MA 01830-6032
(978) 373-7010
Mailing address
1 LARSON AVE, TYNGSBORO, MA 01879-1131
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S47009832
DRIVER'S LICENSE
MA
Enumeration date
02/07/2020
Last updated
04/06/2023
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