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Individual

MARIE KATHRYN DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
319 WILDER ST, LOWELL, MA 01851-1731
(978) 452-4522
Mailing address
46 CHESTNUT ST, WESTBOROUGH, MA 01581-3016
(508) 498-2567

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
133N00000X
Nutritionist
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/28/2014
Last updated
05/28/2014
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