Individual
HENRY ANNE VELYSIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HOSPITAL DRIVE, SULLIVAN 5, LOWELL, MA 01852
(978) 934-8520
Mailing address
491 DUTTON ST UNIT 315, LOWELL, MA 01854-4290
(978) 905-5180
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
222399
MA
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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