Individual
MRS. MICHELLE OLIVE HODDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
77 RUMFORD AVE, WALTHAM, MA 02453-3872
(781) 894-4307
Mailing address
77 RUMFORD AVENUE, CHILDREN'S CHARTER, WALTHAM, MA 02453
(781) 894-4307
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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