Individual
SOFIA RAY VAN SICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CARC
Contact information
Practice address
55 COURT ST STE 220B, BOSTON, MA 02108-2104
(888) 963-1828
Mailing address
55 COURT ST STE 220B, BOSTON, MA 02108-2104
(888) 963-1828
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
0580RC
MA
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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