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Individual

ELIZABETH FIEG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CGC

Contact information

Practice address
45 FRANCIS ST, BOSTON, MA 02115-6105
(617) 264-5832
Mailing address
51 SELWYN ST, ROSLINDALE, MA 02131-1537

Taxonomy

Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC424
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
GC242
MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH (LICENSE)
MA
Enumeration date
08/25/2022
Last updated
08/25/2022
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