Individual
CHARLES MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED
Contact information
Practice address
434 WARREN ST, BOSTON, MA 02121-1325
(617) 989-0292
Mailing address
333 QUINCY ST, BOSTON, MA 02125-2419
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
47-3090875
MA
Other
Enumeration date
02/26/2015
Last updated
03/01/2015
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