Individual
JALYSSA RAE SPINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
80 WASHINGTON ST, BUILDING P55, NORWELL, MA 02061
(781) 290-3886
Mailing address
179 PARK AVE, EAST WAREHAM, MA 02538
(774) 810-2591
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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