Individual
JACQUELINE CECILIA MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
157 GREEN ST, JAMAICA PLAIN, MA 02130-2667
(617) 522-7400
Mailing address
157 GREEN ST, JAMAICA PLAIN, MA 02130
(617) 308-6695
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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