Individual
MISS CALADONIA ELLE SHAIRS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 CEDAR HILL ST STE 200, MARLBOROUGH, MA 01752-5900
(857) 829-4040
Mailing address
2 PHELPS ST, SALEM, MA 01970-3019
(978) 578-9242
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MA
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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