Individual
ELLEN MARIE DECKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
603 NEPONSET ST, CANTON, MA 02021-1981
(781) 255-1817
(781) 762-8542
Mailing address
5 OAKVIEW CIR, MEDWAY, MA 02053-1317
(860) 205-6409
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
MA
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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