Individual
MISS ANNELIESE DECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 & 4 BLACKBURN CENTER DRIVE, GLOUCESTER, MA 01930
(978) 283-7198
Mailing address
19 LANGSFORD ST, GLOUCESTER, MA 01930-1013
(978) 879-9578
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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