Individual
JENNIFER L CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
95 CHICKERING RD, SPENCER, MA 01562-2822
(508) 801-2633
Mailing address
95 CHICKERING RD, SPENCER, MA 01562-2822
(508) 801-2633
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86031762
MA
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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