Individual
MS. DEBORAH LAVENNIA MILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MM
Contact information
Practice address
394 TRUMAN HIGHWAY, MILTON, MA 02186
(617) 543-4357
(617) 364-1664
Mailing address
50 DALE ST, ROXBURY, MA 02119-2274
(617) 543-2764
(617) 442-3825
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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