Individual
JESSIE MARDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
88 LINCOLN ST, FRAMINGHAM, MA 01702-6354
(508) 620-0010
Mailing address
88 LINCOLN ST, FRAMINGHAM, MA 01702-6354
(508) 620-0010
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
476664
MA
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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