Individual
CAMERON MICHAEL GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
780 AMERICAN LEGION HWY, ROSLINDALE, MA 02131-3908
(617) 267-3700
Mailing address
780 AMERICAN LEGION HWY, ROSLINDALE, MA 02131-3908
(888) 922-2843
(855) 568-2494
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/27/2022
Last updated
10/16/2024
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