MICHELLE VIDAL

MEDFORD, MA
NPI1124362389
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  114943)
Enumeration Date2012-11-12
Last Update Date2012-11-12
Business Address
-- MICHELLE VIDAL LICSW
170 GOVERNORS AVE LAWRENCE MEMORIAL HOSPITAL
MEDFORD, MA 02155-1643
Phone number: 781-306-6008
Mailing Address
-- MICHELLE VIDAL LICSW
170 GOVERNORS AVE LAWRENCE MEMORIAL HOSPITAL
MEDFORD, MA 02155-1643
Phone number: 781-306-6008