Individual
AMANDA MACVICAR-CORBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 PHILLIPS ST, HANSON, MA 02341-1523
(781) 853-3736
Mailing address
204 PHILLIPS ST, HANSON, MA 02341-1523
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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