Individual
TERESA ISOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
98 N FRONT ST, NEW BEDFORD, MA 02740-7327
(774) 628-1000
Mailing address
98 NORTH FRONT ST, NEWBEDFORD, MA 02740
(774) 628-1000
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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