Individual
CYNTHIA VICTOR
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
32 HANCOCK RD, MALDEN, MA 02148-6211
(617) 407-4507
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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