Individual
JACQUELINE MARCHAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
149 FISKE ST, TEWKSBURY, MA 01876-1117
(978) 758-1043
Mailing address
149 FISKE ST, TEWKSBURY, MA 01876-1117
(978) 758-1043
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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