Individual
AMANDA LEE FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
132 ROBBS HILL RD, LUNENBURG, MA 01462-2167
(774) 270-1766
(508) 861-0206
Mailing address
132 ROBBS HILL RD, LUNENBURG, MA 01462-2167
(774) 270-1766
(508) 861-0206
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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