Individual
MS. KRISTY LEE DESOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
1 WASHINGTON ST, TAUNTON, MA 02780-3960
(508) 977-9116
Mailing address
1 WASHINGTON ST, TAUNTON, MA 02780-3960
(508) 977-9116
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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