Individual
EMILY SUDBROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 WARREN ST, BRIGHTON, MA 02135-3601
(617) 254-1271
Mailing address
77F WARREN ST, BRIGHTON, MA 02135-3601
(617) 254-1271
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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