Individual
MARY PUCCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
780 AMERICAN LEGION HWY, ROSLINDALE, MA 02131-3908
(617) 469-8500
Mailing address
6 RENDALL RD, BOSTON, MA 02132-1024
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
219637
MA
Other
Enumeration date
03/13/2014
Last updated
03/16/2023
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