Individual
JACK BIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
21 GEORGE ST, LOWELL, MA 01852-2228
(978) 453-5736
Mailing address
21 GOLD ST, LOWELL, MA 01854-3321
(716) 986-4036
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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