Individual
MS. HEATHER LAURIE NORTHUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2348 POST RD, SUITE 107, WARWICK, RI 02886-2258
(401) 681-4637
Mailing address
496 S ALMOND ST, FALL RIVER, MA 02724-1504
(774) 644-4806
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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