MISS Nicole M Staiti, B.A.

NPI #1548572126 in Barre, Massachusetts

Provider Information

NPI Number
1548572126
Entity Type
Individual
Name
MISS Nicole M Staiti, B.A.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Credential
B.A.
Enumeration Date
Jul 12, 2010
Last Updated
Apr 5, 2016

Practice Location

Address
455 SOUTH ST
City
Barre
ZIP Code
01005-8909
Phone
(978) 355-4541

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children

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