Shanda Aurora Caniquie
Counselor in Bridgewater, MA. Individual provider (NPI-1).
NPI number1982245833
StatusActive
Last updated in NPPESOct 2, 2019
Details
- NPI
- 1982245833
- Entity type
- Individual (NPI-1)
- Name
- Shanda Aurora Caniquie
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2019
- Last updated
- Oct 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
21 Burrill AveBridgewater, MA 02325-0001
Phone 224-210-0063
Mailing address
45 School StBridgewater, MA 02325-1219
Phone 224-210-0063
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