Individual
LISA BROMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 FORTUNE BLVD, MILFORD, MA 01757-1750
(508) 478-0207
Mailing address
20 HIGH ST, UXBRIDGE, MA 01569-1853
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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