Individual
CORI ANN TAITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1120 HANCOCK ST, QUINCY, MA 02169-4313
(617) 471-8400
Mailing address
19 COLUMBIA ST, BROOKLINE, MA 02446-2479
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
07/22/2020
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