Individual
MARY COSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13 GOLDIE RD, WEST BRIDGEWATER, MA 02379-1407
(617) 872-0877
Mailing address
13 GOLDIE RD, WEST BRIDGEWATER, MA 02379-1407
(617) 872-0877
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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