Individual
FASHINY ETIENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
388 PLEASANT ST STE 203, MALDEN, MA 02148-8143
(617) 238-1360
(617) 977-9761
Mailing address
388 PLEASANT ST STE 203, MALDEN, MA 02148-8143
(617) 238-1360
(617) 977-9761
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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