Most Relevant Information
Provider Data
| NPI Number: | 1003359407 |
| Provider Name: | MELISSA WOOD M.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/02/2016 |
| Last Updated: | 12/02/2016 |
Provider Practice Location
151 MYSTIC AVE
MEDFORD
MA
021554632
Practice Location Phone/Fax
| Phone: | 7813961199 |
| Fax: | 7813961439 |
Provider Mailing Location
151 MYSTIC AVE
MEDFORD
MA
021554632
Provider Mailing Phone/Fax
| Phone: | 7813961199 |
| Fax: | 7813961439 |