Individual
MR. MIODRAG MILOVANOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
675 MAIN ST, 2ND FLOOR, WALTHAM, MA 02453
(781) 893-2003
(781) 647-0183
Mailing address
146 CLIFTON ST., UNIT 10, MALDEN, MA 02148-2579
(617) 230-2556
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/09/2008
Last updated
09/04/2009
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