Individual
JOMALY THALIA COLON-ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 WATERTOWN ST, WATERTOWN, MA 02472-2576
(317) 916-5069
Mailing address
3 HAMILTON ST, BROCKTON, MA 02301-4224
(857) 354-9992
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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