MICHAEL JONATHAN MUDD

WORCESTER, MA
NPI1740298470
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  105620)
Enumeration Date2006-08-05
Last Update Date2007-07-08
Business Address
-- MICHAEL JONATHAN MUDD MSW, LICSW
72 JAQUES AVE
WORCESTER, MA 01610-2476
Phone number: 508-860-1000
Mailing Address
-- MICHAEL JONATHAN MUDD MSW, LICSW
150 CRESCENT ST
WEST BOYLSTON, MA 01583-1032
Phone number: 508-835-3541