Individual
PAULA YETMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
386 N MAIN ST # R, RANDOLPH, MA 02368-4178
(781) 956-3886
Mailing address
15 BERKELEY RD, DEDHAM, MA 02026-1707
(781) 956-3886
(781) 251-6673
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13960
MA
Other
Enumeration date
12/04/2016
Last updated
12/04/2016
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