Individual
JACQUELINE SALCEDO DE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 DUDLEY ST, ROXBURY, MA 02119-2769
(617) 445-6655
Mailing address
29 WOODGLEN RD, HYDE PARK, MA 02136-3322
(857) 233-1999
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MA
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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