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Organization
PASSPORT PERSONAL WELLNESS LLC
Active
Organization
PASSPORT PERSONAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN L BOELZNER LICSW (OWNER)
(603) 345-9442
Entity
Organization
Contact information
Practice address
835 MOUNT HOPE ST UNIT 39, NORTH ATTLEBORO, MA 02760-2609
(603) 345-9442
Mailing address
835 MOUNT HOPE ST UNIT 39, NORTH ATTLEBORO, MA 02760-2609
(603) 345-9442
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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