Individual
HANNAH LIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 EDGEWATER PL, WAKEFIELD, MA 01880-1293
(413) 544-1033
Mailing address
260 STATE AVE APT B, PALMER, MA 01069-1835
(413) 544-1033
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MA
Other
Enumeration date
03/13/2023
Last updated
08/30/2023
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