Individual
MELISSA ALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
126 PHOENIX AVE, LOWELL, MA 01852-4991
(978) 453-8331
Mailing address
3 VILLAGE LN APT 23A, TYNGSBORO, MA 01879-2817
(978) 590-3293
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
MA
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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