Kim Mailloux

NPI #1003447822 in Worcester, Massachusetts

Provider Information

NPI Number: 1003447822
Entity Type: Individual
Name: Kim Mailloux
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Jan 30, 2020
Last Updated: Jan 30, 2020

Practice Location

Address: 239 MILL ST
City: Worcester
State: Massachusetts
ZIP Code: 01602-3191
Phone: (508) 752-8466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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