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Individual

MRS. VIRGINIA GAETA NAGIEC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
QP, MS, LMFTA

Contact information

Practice address
95 MANOMET AVE, HULL, MA 02045-2341
(781) 925-2423
Mailing address
112 JERSEY ST, APT C, BOSTON, MA 02215-4840
(252) 259-7278

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1440
MA
106H00000X
Marriage & Family Therapist
7066A
NC

Other

Enumeration date
06/21/2011
Last updated
12/07/2012
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