Individual
MISS RASHANNA FRANCES ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 VIKING TER, MATTAPAN, MA 02126-2552
(617) 291-4377
Mailing address
6 VIKING TERRACE, MATTAPAN, MA 02126
(617) 291-4377
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S66226822
MA
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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