Individual
IVELISSE PAULINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 MAIN ST FL 3, FITCHBURG, MA 01420-3496
(978) 503-7520
Mailing address
625 MAIN ST FL 3, FITCHBURG, MA 01420-3496
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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