Traci Jean Medeiros B.A.

NPI 1942328828 - Counselor - 101Y00000X

NPI Details
NPI 1942328828
Gender Female
Enumeration Date 03/27/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
14 FORDHAM RD
ALLSTON MA, 02134-3006, US
Phone (617) 782-6460
Fax
Business Location
35 LINE ST
CAMBRIDGE MA, 02138-3202, US
Phone (508) 269-0505
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Traci Jean Medeiros B.A. NPI is 1942328828, taxonomy code is 101Y00000X Traci Jean Medeiros B.A. physically located at 14 Fordham Rd, Allston MA, 02134-3006. NPI Number Traci Jean Medeiros B.A. has the Individual type.

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1942328828 NPI number is provided on an as is basis without warranty of any kind. 1942328828 is maintained by the National Plan & Provider Enumeration System. The contents of Traci Jean Medeiros B.A. are for informational purposes only.