Individual
IMAN HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
412 LEO DR, GARDNER, MA 01440-1294
(978) 413-6160
Mailing address
412 LEO DR, GARDNER, MA 01440-1294
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/24/2018
Last updated
11/24/2018
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