Individual
DR. MIRA MOOREVILLE NURKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
71 ROCKVIEW ST, BOSTON, MA 02130-2147
(610) 304-9072
Mailing address
71 ROCKVIEW ST, BOSTON, MA 02130-2147
(610) 304-9072
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11212
MA
Other
Enumeration date
09/06/2018
Last updated
12/03/2019
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