Individual
ANTONIETTA ELEANOR FISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 PERKINS ST APT C5, AMESBURY, MA 01913-2741
(978) 702-6056
Mailing address
10 EMBANKMENT ST, LAWRENCE, MA 01841-4731
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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