Individual
VANESSA MARIE MEDEIROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
789 STEVENS RD, SWANSEA, MA 02777-4711
(508) 672-6560
Mailing address
789 STEVENS RD, SWANSEA, MA 02777-4711
(508) 672-6560
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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