Individual
LAINIE ALLISON BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 CRESCENT ST, KINGSTON, MA 02364-2255
(617) 347-6393
Mailing address
32 CRESCENT ST, KINGSTON, MA 02364-2255
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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