Individual
GABRIEL DESOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1304 COMMONWEALTH AVE, ALLSTON, MA 02134-3747
(617) 238-4789
Mailing address
49 RIVERVIEW ST, NORTH ANDOVER, MA 01845-1607
(617) 797-2385
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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