Individual
MICHELA MITSOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 WHITNEY RD, BERLIN, MA 01503-1653
(855) 222-7980
Mailing address
16 ALGONQUIN RD, CHELMSFORD, MA 01824-4732
(978) 846-2152
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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