Individual
AUDREY DOROTHEA SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
356 SEWALL ST, LUDLOW, MA 01056-2850
(413) 544-3856
Mailing address
1 LINCOLN PL, MONSON, MA 01057-1219
(413) 544-3856
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
1969
MA
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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