Individual
MISS GLENDA ENET MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 UNION ST STE 557, LAWRENCE, MA 01840-1866
(978) 651-2544
(978) 686-2954
Mailing address
15 UNION ST SUITE 557, LAWRENCE, MA 01840
(978) 651-2544
(978) 686-2954
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
S888810708
MA
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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