Individual
DESIRE PETRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
324 DORCHESTER ST # 2, BOSTON, MA 02127-2756
(617) 999-5680
Mailing address
324 DORCHESTER ST # 2, BOSTON, MA 02127-2756
(617) 999-5680
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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