Organization
JENNIFER THOMPSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER MARY THOMPSON (CLINICAL COORDINATOR)
(781) 895-3200
Entity
Organization
Contact information
Practice address
391 PLEASANT ST, #102, MELROSE, MA 02176-4535
(781) 620-1080
Mailing address
391 PLEASANT ST, #102, MELROSE, MA 02176-4535
(781) 620-1080
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/20/2010
Last updated
03/17/2011
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