Individual
JESSICA CANDEIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
439 S UNION ST, LAWRENCE, MA 01843-2837
(978) 688-5070
(978) 688-0712
Mailing address
526 MAIN ST, MEDFORD, MA 02155-6538
(781) 219-7734
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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