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Julianna Marie Fagan

Developmental Therapist in Malden, MA. Individual provider (NPI-1).

NPI number1649917543
StatusActive
Last updated in NPPESMay 13, 2022

Details

NPI
1649917543
Entity type
Individual (NPI-1)
Name
Julianna Marie Fagan
Sex
Female
Sole proprietor
No
Enumeration date
May 13, 2022
Certification date
May 13, 2022
Last updated
May 13, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist––Yes

Practice location

214 Commercial St
Malden, MA 02148-6716

Phone 781-321-0645

Mailing address

214 Commercial St
Malden, MA 02148-6716

Phone 781-321-0645

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Other Developmental Therapist providers in Malden, MA

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