Individual
MOLLY CHADIS MICLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1419 BEACON ST STE 34, BROOKLINE, MA 02446-4808
(617) 981-5661
Mailing address
90 MILL ST, NEWTON, MA 02459-1126
(617) 981-5661
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
225476
MA
Other
Enumeration date
02/20/2021
Last updated
02/20/2021
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