Traci Jean Medeiros, B.A.

NPI #1942328828 in Allston, Massachusetts

Provider Information

NPI Number: 1942328828
Entity Type: Individual
Name: Traci Jean Medeiros, B.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: B.A.
Enumeration Date: Mar 27, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 14 FORDHAM RD
City: Allston
State: Massachusetts
ZIP Code: 02134-3006
Phone: (617) 782-6460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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