Individual
DAWNA MARIA BIVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.ED.
Contact information
Practice address
2 COURTHOUSE LN, CHELMSFORD, MA 01824-1715
(510) 693-7711
Mailing address
2 COURTHOUSE LN, CHELMSFORD, MA 01824-1715
(510) 693-7711
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
16594009802
MA
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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