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Organization

UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL

Active
Other names
UMass Early Intervention and Family Support Program
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SARAH BOUTIETTE MONGEAU C.P.A. (CONSULTANT)
(508) 856-4202
Entity
Organization

Contact information

Practice address
214 LAKE ST, CHILD DEVELOPMENT BUILDING, SHREWSBURY, MA 01545-3960
(508) 856-4202
(508) 845-2783
Mailing address
PO BOX 4193, SHREWSBURY, MA 01545-7193
(508) 856-4202
(508) 845-2783

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
04/19/2007
Last updated
08/22/2020
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