| 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 |
|---|---|
| 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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