Individual
OWEN MINOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 GREENOUGH ST, BROOKLINE, MA 02445-6151
(617) 438-0582
Mailing address
1196 CENTRAL AVE, NEEDHAM, MA 02492-1653
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
1015403
MA
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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