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Karen Jay Brocksmith, DS

Developmental Therapist in Gardner, MA. Individual provider (NPI-1).

NPI number1669974960
StatusActive
Last updated in NPPESJun 16, 2018

Details

NPI
1669974960
Entity type
Individual (NPI-1)
Name
Karen Jay Brocksmith
Credential
DS
Sex
Female
Sole proprietor
No
Enumeration date
Mar 2, 2018
Last updated
Jun 16, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist––Yes

Practice location

31 Lake St
Gardner, MA 01440-3879

Phone 978-632-4432

Mailing address

31 Lake St
Gardner, MA 01440-3879

Phone 978-632-4432

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