Individual
AMANDA MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
29 LAURIE AVE, ABINGTON, MA 02351-2130
(781) 351-1275
Mailing address
29 LAURIE AVE, ABINGTON, MA 02351
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/27/2016
Last updated
05/29/2020
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