Individual
JANE SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 CONGRESS ST, SALEM, MA 01970-7309
(978) 745-8890
Mailing address
15 SUMMIT AVE, ROCKPORT, MA 01966-1430
(978) 546-1043
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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