Individual
MRS. JANICE MARIE WENSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
100 ERDMAN WAY, LEOMINSTER, MA 01453-1804
(978) 840-9354
Mailing address
26 ROBBINS RD, AYER, MA 01432-1771
(978) 772-4127
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
S21451720
MA
Other
Enumeration date
11/20/2007
Last updated
11/20/2007
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