Individual
MRS. ERIN L SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 TURNPIKE RD STE 101, SOUTHBOROUGH, MA 01772-1755
(508) 970-6377
Mailing address
495 WHITTEMORE ST, LEICESTER, MA 01524-1837
(508) 612-7413
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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