Individual
DANIEL ROBERT MALTAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
13 TEMPLE ST, QUINCY, MA 02169-5110
(617) 471-8400
Mailing address
17 GRISWOLD ST, EVERETT, MA 02149-5137
(617) 347-3297
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/27/2010
Last updated
06/28/2012
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