Jacqueline Pucillo

Individual provider Early Intervention Provider Agency · NPI 1063706513

Jacqueline Pucillo is an Early Intervention Provider Agency in North Easton, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in: MA
In the registry since: 2011

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Practice location Address checks out

30 Reynolds St
North Easton, MA 02356-1518
Phone: (508) 272-0457

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary)	Taxonomy 252Y00000X · Licence S87602754 (MA)

Record details

NPI number	1063706513
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	June 1, 2011
Last updated in NPPES	June 1, 2011
Mailing address	30 Reynolds St, North Easton, MA 02356-1518