Individual
MS. JOHANNA MELODY MCGLAME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
33 WEST ST, NEWTON, MA 02458-1349
(617) 448-1139
Mailing address
33 WEST ST, NEWTON, MA 02458-1349
(617) 448-1139
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1032749
MA
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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