Individual
NORWAY DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
470 MAIN ST, MASHPEE, MA 02649-2047
(508) 760-1475
Mailing address
67 WEST WAY, MASHPEE, MA 02649-3536
(774) 417-7792
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/15/2019
Last updated
09/15/2020
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