Individual
JESSICA SPROUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 VICTORY RD, QUINCY, MA 02171-3139
(617) 847-1950
Mailing address
836 SEA ST, APT. 2, QUINCY, MA 02169-3400
(978) 807-9202
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
N/A
—
Other
Enumeration date
10/23/2007
Last updated
06/02/2008
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