Individual
JACQUELINE OSEI OWUSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 MAIN ST STE 29, TEWKSBURY, MA 01876-4700
(774) 266-8645
Mailing address
36 18TH ST, LOWELL, MA 01850-1304
(917) 773-7739
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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