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Individual

REBECCA PARENTEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
37 STONE ST, WALPOLE, MA 02081
(603) 793-1123
Mailing address
16600 RIVER HEIGHTS LOOP, EAGLE RIVER, AK 99577-8084
(603) 793-1123

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-11799
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110026265E
MA
Enumeration date
07/18/2012
Last updated
05/17/2018
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