Individual
DEIDRE KINUTHIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 WARD FARM CIR, WORCESTER, MA 01602-3100
(774) 303-9101
Mailing address
16 WARD FARM CIR, WORCESTER, MA 01602-3100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
S78223095
MA
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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