Individual
NIKKIA LEE MARCIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
593 E BROADWAY APT 3, BOSTON, MA 02127-4493
(617) 388-2055
Mailing address
593 E BROADWAY APT 3, BOSTON, MA 02127-4493
(617) 388-2055
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
LMHC10001847
MA
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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