Individual
LILLIAN MARY MARGOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 SUMMER ST, SOMERVILLE, MA 02143-2706
(413) 522-3689
Mailing address
47 ADAMS ST, MEDFORD, MA 02155-5207
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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