Individual
BROOK W ASSEFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 OBRIEN TER, LOWELL, MA 01854-3806
(781) 281-4591
Mailing address
11 OBRIEN TER, LOWELL, MA 01854-3806
(781) 281-4591
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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