Individual
MARYLOUISE DEMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 LIBERTY ST, SPRINGFIELD, MA 01104-3736
(413) 736-3668
(413) 731-8651
Mailing address
417 LIBERTY ST, SPRINGFIELD, MA 01104-3736
(413) 736-3668
(413) 731-8651
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN146131
MA
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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