Individual
MS. CHAYLA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TM
Contact information
Practice address
520 DUDLEY ST, ROXBURY, MA 02119-2769
(617) 445-6655
Mailing address
520 DUDLEY ST, ROXBURY, MA 02119-2769
(617) 445-6655
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/17/2014
Last updated
01/12/2017
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