Individual
ALEX DOMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 DUDLEY ST, ROXBURY, MA 02119-2769
(617) 445-6655
Mailing address
1 LEIGHTON ST, #1311, CAMBRIDGE, MA 02141-1875
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/12/2010
Last updated
06/12/2010
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