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Individual
MS. MICHELLE A WALSH
Active
Individual
MS. MICHELLE A WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1025937
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
706111
TUFTS
MA
01
—
PO7905
BCBS
MA
Enumeration date
05/09/2008
Last updated
09/30/2014
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