Individual
ALEXIS LONEWOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 OSBORN ST, FALL RIVER, MA 02724-2814
(508) 676-5708
Mailing address
465 WHIPPLE ST, FALL RIVER, MA 02724-3426
(774) 319-0509
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
12/04/2023
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