Individual
LAURA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 WASHINGTON ST, ROXBURY, MA 02119-3213
(617) 617-6176
Mailing address
2300 WASHINGTON ST, ROXBURY, MA 02119-3213
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
05/12/2022
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