Organization
BODHI TREE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLORIA TOWER LICSW (OWNER/AUTHORIZED OFFICIAL)
(617) 319-6416
Entity
Organization
Contact information
Practice address
89 MAIN ST STE 402, MILFORD, MA 01757-2600
(617) 319-6416
Mailing address
89 MAIN ST STE 402, MILFORD, MA 01757-2600
(617) 319-6416
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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