Individual
MRS. CHRISTINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
484 WORCESTER ST, SOUTHBRIDGE, MA 01550-1409
(774) 318-1806
(508) 471-5389
Mailing address
14 DOLGE CT, OXFORD, MA 01540-2010
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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