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Individual

GLADYS CASIANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
317 BLUE HILL AVE, DORCHESTER, MA 02121-4302
(617) 427-4470
(617) 442-9419
Mailing address
317 BLUE HILL AVE, DORCHESTER, MA 02121-4302
(617) 427-4470
(617) 442-9419

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/29/2010
Last updated
09/29/2010
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