MEDICARE: ALLYSON-PAIGE CHOQUETTE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1720349491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLYSON-PAIGE CHOQUETTE

Provider Business Mailing Address
First Line	:	12 METHUEN ST
Second Line	:
City	:	LAWRENCE
State	:	MA
Zip	:	01840-1700
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	103 OLD VILLAGE LN
Second Line	:
City	:	NORTH ANDOVER
State	:	MA
Zip	:	01845-4532
Country	:	US
Telephone Number	:	617-517-9868
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2012
Last Update Date	:	05/30/2012

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Directions to “ ALLYSON-PAIGE CHOQUETTE ” Practice Location

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