Individual
MRS. LONNIE RAE OUELLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LABA
Contact information
Practice address
62 SCHOOL HOUSE LANE, BOXBORO, MA 01719
(978) 314-3647
Mailing address
62 SCHOOL HOUSE LANE, BOXBORO, MA 01719
(978) 314-3647
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YS0200X
School Counselor
279736
MA
103K00000X
Behavior Analyst
Primary
000001638
MA
Other
Enumeration date
03/11/2014
Last updated
02/21/2017
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