Individual
SUEJONA MIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34 AGAWAM ST, REVERE, MA 02151-2577
(401) 299-6043
Mailing address
34 AGAWAM ST, REVERE, MA 02151-2577
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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