Individual
CAIT SOUTHWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
181 WINSLOW STREET, MARSHFIELD, MA 02050
(781) 206-9370
Mailing address
181 WINSLOW ST, MARSHFIELD, MA 02050-3056
(781) 296-9370
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
S59991821
MA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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