Individual
KAITLIN NICOLE LUCCARELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 MCCARTHY AVE, CHERRY VALLEY, MA 01611-3252
(774) 303-9195
Mailing address
65 MCCARTHY AVE, CHERRY VALLEY, MA 01611-3252
(774) 303-9195
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
—
—
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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