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Individual

JANELLA LUC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1234 HYDE PARK AVE, HYDE PARK, MA 02136-2819
(888) 763-7272
Mailing address
1234 HYDE PARK AVE, HYDE PARK, MA 02136-2819

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1912412172
MA

Other

Enumeration date
01/28/2025
Last updated
01/28/2025
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