Michelle Vidal, LICSW
NPI #1124362389 in Medford, Massachusetts
Provider Information
- NPI Number
- 1124362389
- Entity Type
- Individual
- Name
- Michelle Vidal, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Nov 12, 2012
- Last Updated
- Nov 12, 2012
Practice Location
- Address
- 170 GOVERNORS AVE
- Address 2
- LAWRENCE MEMORIAL HOSPITAL
- City
- Medford
- State
- Massachusetts
- ZIP Code
- 02155-1643
- Phone
- (781) 306-6008
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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