Individual
MICHELLE VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
431 RIVER ST, SUITE 1, WALTHAM, MA 02453-5476
(781) 891-0555
(781) 701-8905
Mailing address
431 RIVER ST, SUITE 1, WALTHAM, MA 02453-5476
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/18/2016
Last updated
06/26/2017
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