Individual
KATELYN BULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
126 PHOENIX AVE, LOWELL, MA 01852
(978) 453-8331
Mailing address
126 PHOENIX AVE, LOWELL, MA 01852
(978) 453-8331
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/18/2009
Last updated
09/18/2009
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