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Individual

ASHLEY INIRIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
155 WEST ST STE 7, WILMINGTON, MA 01887-6010
(508) 859-4247
Mailing address
34 BROMFIELD ST, LAWRENCE, MA 01841-2504
(978) 390-1348

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
S92181220
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100044046851
MA
Enumeration date
12/18/2020
Last updated
12/18/2020
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