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NPI Code Detail

MEDICARE: MARLEIGH MARIE TETREAULT

MEDICARE:   MARLEIGH MARIE TETREAULT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerMA

General Provider Information

NPI Number : 1023949666
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLEIGH MARIE TETREAULT
Provider Business Mailing Address
First Line : 35 CONGRESS ST STE 2235
Second Line :
City : SALEM
State : MA
Zip : 01970-5529
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 35 CONGRESS ST STE 2235
Second Line :
City : SALEM
State : MA
Zip : 01970-5529
Country : US
Telephone Number : 978-238-1870
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2026
Last Update Date : 05/25/2026

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Directions to “ MARLEIGH MARIE TETREAULT ” Practice Location

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