Individual
MICHELLE TEACHOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 FOSTERS PT, BEVERLY, MA 01915-3911
(857) 261-1668
Mailing address
7 FOSTERS PT, BEVERLY, MA 01915-3911
(857) 261-1668
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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