Individual
MISS KELLY MONIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 ROTCH ST, ACUSHNET, MA 02743-2475
(508) 971-8429
Mailing address
16 ROTCH ST, ACUSHNET, MA 02743-2475
(508) 971-8429
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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