Individual
MS. TIANA TOVAH MIRAPAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M ED LCSW
Contact information
Practice address
22 MORGAN CIRCLE, AMHERST, MA 01002
(413) 549-7444
Mailing address
22 MORGAN CIRCLE, AMHERST, MA 01002
(413) 549-7444
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
208177
MA
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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