Individual
WANDERLEY TIMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
95 G ST, SOUTH BOSTON, MA 02127-2920
(617) 635-9870
Mailing address
95 G ST, SOUTH BOSTON, MA 02127-2920
(857) 492-6346
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
219980
MA
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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