Individual
MELISSA L TENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 OTIS RD, OTIS, ME 04605-6703
(207) 537-2203
Mailing address
105 OTIS RD, OTIS, ME 04605-6703
(207) 537-2203
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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