Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | 236703 | MA |
N | 101YS0200X | School Counselor | 372872 | MA |
NPI | 1053869644 |
---|---|
Provider Name | Ms. Maureen Elaine Paradis |
First Address | Lancaster, MA 01523-2016 |
Second Address | Worcester, MA 01602-3339 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2016 |
Last Update Date | 13/09/2016 |