Individual
EMMA KATHERINE DUFAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 SW CUTOFF STE 203, WORCESTER, MA 01604-2730
(860) 882-3968
Mailing address
67 WATERVILLE ST, NORTH GRAFTON, MA 01536-1849
(774) 545-0401
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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