Individual
MS. ELLEN L WINFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 DUDLEY ST, ROXBURY, MA 02119-2769
(617) 989-9499
Mailing address
520 DUDLEY ST, ROXBURY, MA 02119-2769
(617) 989-9499
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
S99335011
MA
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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