Individual
JESSICA MARIE CORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
52 SARGENT AVE, SOMERVILLE, MA 02145-2964
(781) 351-2171
Mailing address
52 SARGENT AVE, SOMERVILLE, MA 02145-2964
(781) 351-2171
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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