Individual
MISS JENNIFER MARIE AVITABILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRC
Contact information
Practice address
29 BRIGGS AVE, PLYMOUTH, MA 02360-5914
(774) 454-4060
Mailing address
29 BRIGGS AVENUE, PLYMOUTH, MA 02360-5914
(774) 454-4060
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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