Individual
CARLIE DE SOUZA DIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1217 AMES HILL DR, TEWKSBURY, MA 01876-1176
(978) 660-7531
Mailing address
1217 AMES HILL DR, TEWKSBURY, MA 01876-1176
(978) 660-7531
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/11/2022
Last updated
05/10/2022
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