Individual
MADISON KATHERINE DESMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
176 FRANKLIN ST, LYNN, MA 01904-3230
(781) 593-2727
Mailing address
12 HULL ST, BEVERLY, MA 01915-1420
(978) 578-1553
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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