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Individual

AMANDA JOY LAWRENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
65 HATHAWAY ST, WAREHAM, MA 02571-1325
(774) 510-0750
(508) 295-3182
Mailing address
65 HATHAWAY ST, WAREHAM, MA 02571-1325
(774) 510-0750
(508) 295-3182

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
12/19/2023
Last updated
12/19/2023
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