Individual
CLARE MARTINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
55 DIMOCK ST, GODDARD BUILDING, ROXBURY, MA 02119-1029
(617) 442-8800
(617) 541-8622
Mailing address
36A CRESCENT ST, WEST NEWTON, MA 02465-2021
(617) 558-0081
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3254
MA
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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