Individual
LAURA M MAGGIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 STEPHANIE CIR, SPRINGFIELD, MA 01129-1961
(413) 783-0642
Mailing address
11 STEPHANIE CIR, SPRINGFIELD, MA 01129-1961
(413) 783-0642
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4802-PY-PR
MA
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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