Individual
NIA IMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
434 WARREN ST, DORCHESTER, MA 02121-1325
(617) 427-4470
Mailing address
47 ORLANDO ST, MATTAPAN, MA 02126-1722
(857) 654-4717
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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