Individual
WALLIS ELYSE WELSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 HANCOCK CT, QUINCY, MA 02169-5210
(617) 847-1950
Mailing address
50 WAVERLEY ST APT 2, BELMONT, MA 02478-1960
(330) 209-5728
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
16-183
MA
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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