Individual
MRS. ALICIA VAILLANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
379 MOUNT HOPE AVE, FALL RIVER, MA 02724-1624
(508) 415-0531
Mailing address
379 MOUNT HOPE AVE, FALL RIVER, MA 02724-1624
(508) 415-0531
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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