Nichole Marie Phelps Latendresse, M.A
NPI #1700102217 in Southbridge, Massachusetts
Provider Information
- NPI Number
- 1700102217
- Entity Type
- Individual
- Name
- Nichole Marie Phelps Latendresse, M.A
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- M.A
- Enumeration Date
- Apr 9, 2010
- Last Updated
- May 10, 2016
Practice Location
- Address
- 328 MAIN ST
- City
- Southbridge
- State
- Massachusetts
- ZIP Code
- 01550-3794
- Phone
- (508) 765-9101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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