Individual
INIQUE LUCILLE SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
132 ROBBS HILL RD, LUNENBURG, MA 01462-2167
(978) 390-5499
Mailing address
12 7TH AVE, HAVERHILL, MA 01830-3921
(978) 390-5499
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100024845719
—
MA
Enumeration date
09/08/2020
Last updated
09/08/2020
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