Individual
MICHELLE JANN MCEWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
8 BILLERICA AVENUE EXT UNIT 4, NORTH BILLERICA, MA 01862-1273
(978) 987-8578
Mailing address
8 BILLERICA AVENUE EXT UNIT 4, NORTH BILLERICA, MA 01862-1273
(978) 987-8578
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
S29182611
MA
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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