Individual
JENNA DAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
497 BELLEVILLE AVE, NEW BEDFORD, MA 02746-2420
(508) 991-7487
(508) 997-2677
Mailing address
497 BELLEVILLE AVE, NEW BEDFORD, MA 02746-2420
(508) 991-7487
(508) 997-2677
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1894234
—
MA
Enumeration date
10/09/2007
Last updated
10/09/2007
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