Individual
ALICIA CHRISTINE MACINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 OSGOOD ST, ANDOVER, MA 01810-5411
(978) 475-3806
(978) 475-6288
Mailing address
20 WOODCREST DR, HUDSON, NH 03051-3425
(603) 809-0750
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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