Individual
SOPHIA SMALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 WALNUT AVE, APT. 10, BOSTON, MA 02119
(781) 535-1468
Mailing address
250 WALNUT AVE, APT. 10, BOSTON, MA 02119
(781) 535-1468
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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