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Individual

GESSIKA MEMNNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
43 MONTEBELLO RD, JAMAICA PLAIN, MA 02130
(617) 477-4050
Mailing address
119 BELMONT ST, EVERETT, MA 02149

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
03/21/2016
Last updated
03/21/2016
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