Individual
SHAWNA E BOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
425 HARVARD STREET, DORCHESTER, MA 02124
(617) 740-0116
(413) 739-9972
Mailing address
425 HARVARD STREET, DORCHESTER, MA 02124
(617) 740-0116
(413) 739-9972
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9700
MA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/14/2010
Last updated
03/01/2018
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