Individual
ANGELINE VILDORT NHERISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
132 ROBBS HILL RD, LUNENBURG, MA 01462-2167
(617) 304-1776
Mailing address
16 BERWICK ST, LOWELL, MA 01852-4908
(617) 304-1776
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
S81842607
MA
Other
Enumeration date
04/04/2019
Last updated
07/31/2019
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