Individual
MRS. JACLYNN ANN MAUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 CHRISTIAN HILL RD, GREAT BARRINGTON, MA 01230-1108
(413) 528-4560
Mailing address
PO BOX 938, 54 MAIN STREET, STOCKBRIDGE, MA 01262-0938
(413) 298-4401
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10974
MA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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