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Individual

DAISY MCKINLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
172 NEWBURY ST, PEABODY, MA 01960-2405
(978) 535-9190
Mailing address
82 FRANKLIN ST, SOMERVILLE, MA 02145-4215
(617) 417-0055

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
12/08/2014
Last updated
12/08/2014
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