Individual
BERNICE JOAN MICHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
20 WATERVIEW DR, MEDWAY, MA 02053-1661
(508) 498-1252
Mailing address
20 WATERVIEW DR, MEDWAY, MA 02053-1661
(508) 498-1252
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
112147
MA
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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