Individual
MICHELLE NAGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3920 MYSTIC VALLEY PKWY, APT 218, MEDFORD, MA 02155-6912
(781) 572-9156
Mailing address
3920 MYSTIC VALLEY PKWY, APT 218, MEDFORD, MA 02155-6912
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SP-1173-SA
MA
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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