Individual
EVA JOHANNA PADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
312 WALDEN ST, CAMBRIDGE, MA 02138-1344
(617) 491-4894
Mailing address
312 WALDEN ST, CAMBRIDGE, MA 02138-1344
(617) 491-4894
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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