Individual
JENNIFER LAUREN MIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA INTERN
Contact information
Practice address
76 SUMMER ST STE 145A, FITCHBURG, MA 01420-0200
(978) 309-1902
(978) 268-5768
Mailing address
76 SUMMER ST STE 145A, FITCHBURG, MA 01420-0200
(978) 309-1902
(978) 268-5768
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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