Individual
JESSICA KATHLEEN NAROG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
439 S. UNION ST., MSPCC, LAWRENCE, MA 01843-2451
(978) 682-9222
Mailing address
21 WALNUT ST, #3, SOMERVILLE, MA 02143-3024
(860) 539-6126
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/12/2007
Last updated
10/15/2011
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