Provider Information for 1750415451
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JENNIFER PARADYSZ LICSW
Sex: Female
NPI: 1750415451
Last Updated: 2017-08-10
Certification Date:
Certification Date:
Details
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NPI | 1750415451 | ||||||||
Enumeration Date | 2007-03-15 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 63 FOUNTAIN ST STE 402 FRAMINGHAM, MA 01702-6280 United States Phone: 774-280-6294 | Fax: | ||||||||
Primary Practice Address | 32 RIEDELL RD DOUGLAS, MA 01516-2146 United States Phone: 774-280-6294 | Fax: | ||||||||
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