JACQUELINE TNDT BAO
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1376263533- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 40 CHURCH ST, LOWELL, MA, 018526113
- Phone
- (978) 674-6744
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Social Worker, Clinical
Primary License: MA #2120292
All Addresses
MAILING
40 CHURCH ST
LOWELL, MA, 018526113