Individual
DERON KUMAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 PERKINS ST, WORCESTER, MA 01605-3349
(774) 502-7019
Mailing address
6 PERKINS ST, WORCESTER, MA 01605-3349
(774) 502-7019
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
SA1740473
MA
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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