Individual
JODI PAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 FAIRWAY DR, DERRY, NH 03038-8114
(978) 375-1015
Mailing address
9 FAIRWAY DR, DERRY, NH 03038-8114
(978) 375-1015
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
389992
MA
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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