Individual
JESSICA ELIZABETH DZYAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 FORDHAM RD, ALLSTON, MA 02134-3006
(617) 782-6460
Mailing address
13 TABOR PL, 2, BROOKLINE, MA 02445-6924
(617) 519-1922
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7454
MA
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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