Individual
MRS. AUTUMN VEZINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47 ROLLING GREEN DR APT G, FALL RIVER, MA 02720-7872
(401) 663-6090
Mailing address
463 SWANSEA MALL DR, SWANSEA, MA 02777-4119
(508) 324-0328
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/18/2015
Last updated
02/14/2021
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