Individual
KIA LEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
83 HOSPITAL RD, BALDWINVILLE, MA 01436-1215
(978) 939-1360
Mailing address
83 HOSPITAL RD, BALDWINVILLE, MA 01436-1215
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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