Individual
ALEXANDRA RAVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 WALNUT AVE UNIT C, ROXBURY, MA 02119-3146
(610) 554-6152
Mailing address
435 WALNUT AVE UNIT C, ROXBURY, MA 02119-3146
(610) 554-6152
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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