Individual
MICHAEL BRIAN IRISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 WATER ST, MELROSE, MA 02176-5815
(781) 665-5498
Mailing address
35 WATER ST, MELROSE, MA 02176-5815
(781) 665-5498
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
104914
MA
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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