Individual
EMALIE NOVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
780 AMERICAN LEGION HWY, ROSLINDALE, MA 02131
(857) 225-0871
Mailing address
780 AMERICAN LEGION HWY, ROSLINDALE, MA 02131-3908
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/17/2014
Last updated
09/16/2019
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