Individual
MISHA COOLBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
239 MILL ST, SUITE B, WORCESTER, MA 01602-3191
(508) 752-8466
(774) 243-6611
Mailing address
239 MILL ST, SUITE B, WORCESTER, MA 01602-3191
(508) 752-8466
(774) 243-6611
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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