Individual
LAURA ANN MIGNERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPS
Contact information
Practice address
12 TYLER ST, SOMERVILLE, MA 02143-3241
(508) 904-6466
Mailing address
12 TYLER ST, SOMERVILLE, MA 02143-3241
(508) 904-6466
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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