Individual
CAITLIN DEMEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 PACELLA PARK DR, RANDOLPH, MA 02368-1756
(781) 440-0400
Mailing address
14 PACELLA PARK DR, RANDOLPH, MA 02368-1756
(781) 440-0400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
02/17/2016
Last updated
02/17/2016
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