Individual
CHELA VASTEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1785 COLUMBUS AVE, ROXBURY, MA 02119-1041
(617) 989-2922
Mailing address
1785 COLUMBUS AVE, ROXBURY, MA 02119-1041
(617) 989-2922
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
220766
MA
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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