Individual
LYDIA DENIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(508) 559-0473
Mailing address
17 CABOT ST, LINCOLN, RI 02865-2006
(401) 536-8527
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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