Izadora Thamie Theodore
NPI #1497554232 in Randolph, Massachusetts
Provider Information
- NPI Number
- 1497554232
- Entity Type
- Individual
- Name
- Izadora Thamie Theodore
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Mar 12, 2025
- Last Updated
- Mar 12, 2025
Practice Location
- Address
- 400 N MAIN ST
- City
- Randolph
- State
- Massachusetts
- ZIP Code
- 02368-4177
- Phone
- (781) 885-0277
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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