Individual
ADELLE LILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41 GARRISON RD, BROOKLINE, MA 02445-4445
(617) 277-8107
Mailing address
655 TREMONT ST. #3, BOSTON, MA 02118-1211
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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