Individual
MS. TANYA LOVELY JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RECOVERY SPECIALIST
Contact information
Practice address
302 EUSTIS ST, ROXBURY, MA 02119-3800
(617) 445-1123
Mailing address
302 EUSTIS ST, ROXBURY, MA 02119-3800
(857) 212-2771
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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