Individual
CHERYL ANNESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 MIDDLETON RD, DANVERS, MA 01923-4000
(978) 739-7658
(978) 774-4814
Mailing address
2 GEARY DR, WOBURN, MA 01801-4014
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
105641
MA
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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