Individual
MS. CARINA FORTES TAVARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 CORDWAINER DR, NORWELL, MA 02061-1671
(781) 878-8340
(339) 788-9904
Mailing address
200 CORDWAINER DR, NORWELL, MA 02061-1671
(781) 878-8340
(339) 788-9904
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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