Individual
ALICIA RAHEMA MOOLTREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
161 S HUNTINGTON AVE, JAMAICA PLAIN, MA 02130-4885
(617) 264-5382
(617) 232-7925
Mailing address
161 S HUNTINGTON AVE, JAMAICA PLAIN, MA 02130-4885
(617) 264-5382
(617) 232-7925
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
390200000X
MA
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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