Individual
CHRISTINE E MCCULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1624 LONSDALE AVE, LINCOLN, RI 02865-1840
(401) 954-2064
Mailing address
160 OLIPHANT LN, MIDDLETOWN, RI 02842-4646
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA00178
RI
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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