Individual
RUSSELL MAGUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 AUBURN ST, MANCHESTER, NH 03103-4803
(508) 361-7170
Mailing address
52 PENNYMEADOW WALK, WELLS, ME 04090-6730
(508) 361-7170
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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