Individual
JOELLE MORICONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
176 FRANKLIN ST, LYNN, MA 01904-3230
(781) 593-2727
Mailing address
176 FRANKLIN ST, LYNN, MA 01904-3230
(781) 593-2727
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
1922174226
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
701462376
HEALTH CONNECTOR
MA
05
—
701462376
—
MA
Enumeration date
11/05/2018
Last updated
11/05/2018
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