Individual
SHELBY MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1046 CENTRAL ST, EAST BRIDGEWATER, MA 02333-2140
(508) 649-0013
Mailing address
1046 CENTRAL ST, EAST BRIDGEWATER, MA 02333-2140
(508) 649-0013
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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