Individual
JENNIFER LOIS KHUDAIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 MASON STREET, SALEM, MA 01970
(978) 744-1701
Mailing address
40 MASON STREET, SALEM, MA 01970
(978) 744-1701
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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