Passport Personal Wellness Llc | |
835 Mount Hope St Unit 39 North Attleboro MA 02760-2609 | |
(603) 345-9442 | |
Not Available |
Full Name | Passport Personal Wellness Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 835 Mount Hope St Unit 39, North Attleboro, Massachusetts |
Authorized Official Name and Position | Megan L Boelzner (OWNER) |
Authorized Official Contact | 6033459442 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Passport Personal Wellness Llc 835 Mount Hope St Unit 39 North Attleboro MA 02760-2609 Ph: (603) 345-9442 | Passport Personal Wellness Llc 835 Mount Hope St Unit 39 North Attleboro MA 02760-2609 Ph: (603) 345-9442 |
NPI Number | 1083459424 |
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Provider Enumeration Date | 06/27/2024 |
Last Update Date | 06/27/2024 |
Certification Date | 06/27/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083459424 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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