Individual
DOROTHY GROOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 DUDLEY ST, ROXBURY, MA 02119-2769
(617) 901-3896
Mailing address
520 DUDLEY ST, ROXBURY, MA 02119-2769
(617) 901-3896
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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