Individual
MS. DEEPA SAI AVULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1135 COMM AVE APT 6, ALLSTON, MA 02134-3219
(857) 263-1201
Mailing address
1135 COMM AVE APT 6, ALLSTON, MA 02134-3219
(857) 263-1201
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225600000X
Dance Therapist
Primary
2345
—
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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