Individual
LISA K BRESLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMT
Contact information
Practice address
27 CONGRESS ST STE 203, SALEM, MA 01970-5576
(617) 833-3781
Mailing address
PO BOX 247, 27 CONGRESS ST. #203, SALEM, MA 01970-0247
(617) 833-3781
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5085
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5085-MT
COMM. OF MASS. DIV. OF PROF. LICENSURE
MA
Enumeration date
09/21/2015
Last updated
11/11/2019
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