Individual
DANIELLE M MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 CONDOR ST, EAST BOSTON, MA 02128-1305
(617) 569-6560
Mailing address
130 CONDOR ST, EAST BOSTON, MA 02128-1305
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
09MDD88231
NH
Other
Enumeration date
12/28/2012
Last updated
12/28/2012
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