Individual
ADAIR AGNES BANNISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
53 PARKER HILL AVE, ROXBURY CROSSING, MA 02120-3225
(617) 232-8390
Mailing address
1880 BEACON ST APT 2, BROOKLINE, MA 02445-1937
(864) 640-5579
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/09/2025
Last updated
08/09/2025
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