Individual
BONNIE GAIL IVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
181 UNION ST # J, LYNN, MA 01901-1311
(781) 244-1950
Mailing address
1630 WORCESTER RD APT 511C, FRAMINGHAM, MA 01702-5442
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/18/2017
Last updated
05/18/2017
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