Individual
DALTON MOHAMMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2990 WASHINGTON ST, BOSTON, MA 02119-1203
(781) 292-0120
Mailing address
6 LAWSON ST, AVON, MA 02322-1708
(508) 208-3228
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
222Q00000X
Developmental Therapist
—
MA
Other
Enumeration date
01/14/2022
Last updated
09/13/2023
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