Mirick, Rebecca Genevieve

Mirick, Rebecca Genevieve is an individual health care provider with primary practice located at 338 Main St Suite 304, Wakefield MA 01880-5013. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mirick, Rebecca Genevieve can be contacted via phone (781) 246-2010.

Contact Information

Primary practice address
338 Main St Suite 304 Wakefield MA 01880-5013
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 112053 Massachusetts

Profile Details

NPI number 1295894210
LBN Legal business name Mirick, Rebecca Genevieve
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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