Individual
MERILYN MANCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
68 ANNUNCIATION RD, ROXBURY CROSSING, MA 02120-1808
(617) 858-4468
Mailing address
68 ANNUNCIATION RD, ROXBURY CROSSING, MA 02120-1808
(617) 858-4468
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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