Individual
MISS DEANNA MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
109 OAK ST STE 103, NEWTON, MA 02464-1493
(617) 658-5611
Mailing address
25 PROSPECT ST, SAUGUS, MA 01906-2154
(781) 520-0128
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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