Individual
MS. WANDA L ROSARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 MASSACHUSETTS AVE, BOSTON, MA 02118-2600
(617) 419-3408
Mailing address
774 ALBANY ST, BOSTON, MA 02118-2520
(617) 534-9559
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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