Individual
MS. JANIS SUSAN MONAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W
Contact information
Practice address
151 MYSTIC AVE, MEDFORD, MA 02155-4632
(781) 396-1199
(781) 396-1439
Mailing address
21 JEFFERSON AVE, SHARON, MA 02067-1539
(781) 784-1706
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
107175
MA
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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