Individual
MRS. ANNIKA BANGMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 MILFORD ST, UPTON, MA 01568-1309
(508) 887-6498
Mailing address
1B SW MAIN ST, DOUGLAS, MA 01516-2507
(508) 887-6498
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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