Individual
AYSHA RIDA MIRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MERRIMACK ST STE 205, LOWELL, MA 01852-1707
(978) 455-0756
Mailing address
299 DONOHUE RD, DRACUT, MA 01826-4507
(845) 915-0169
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
824809044
—
MA
Enumeration date
09/09/2022
Last updated
09/09/2022
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