Individual
JULIANNA MARIE FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
214 COMMERCIAL ST, MALDEN, MA 02148-6716
(781) 321-0645
Mailing address
214 COMMERCIAL ST, MALDEN, MA 02148-6716
(781) 321-0645
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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