Individual
MIA BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
100 CUMMINGS CTR STE 158D, BEVERLY, MA 01915-6279
(978) 921-1182
Mailing address
365 APPLETON ST, NORTH ANDOVER, MA 01845-3136
(978) 857-0630
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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