Individual
JACQUELINE GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 FORTUNE BLVD, MILFORD, MA 01757-1750
(508) 478-0207
(508) 634-6984
Mailing address
PO BOX 658, BRANT ROCK, MA 02020-0658
(781) 243-0173
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
S70340462
MA
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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