Individual
KIMBERLY SEPULVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
780 AMERICAN LEGION HWY, ROSLINDALE, MA 02131-3908
(617) 469-8500
Mailing address
1009 MORTON ST, MATTAPAN, MA 02126-2648
(857) 268-8938
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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