Individual
MYSTALA BROUGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10J GILL ST, WOBURN, MA 01801-1721
(781) 932-2888
Mailing address
45 ELM ST, WOBURN, MA 01801-1860
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1041C0700X
MA
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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