Individual
JENNIFER ELLEN AUTIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
103 JOHNSON ST, LYNN, MA 01902-4001
(781) 593-2727
(781) 593-2542
Mailing address
2 BAY ST, APT # 2, DORCHESTER, MA 02125-1535
(617) 861-1194
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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