Individual
GEORGIA NOGUEIRA DESOUZA PATU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
170 MORTON ST, BOSTON, MA 02130-3735
(617) 318-5118
Mailing address
66 CANAL ST, BOSTON, MA 02114-2002
(617) 371-3000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MA
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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