Individual
MADISON MARIA II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 FRANKLIN ST APT 203, LYNN, MA 01902-4164
(781) 479-3206
Mailing address
112 MARKET ST STE 2, LYNN, MA 01901-1148
(781) 592-5691
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
101YM0800X
MA
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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