Individual
AMANDA BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51 KONDAZIAN ST, WATERTOWN, MA 02472-2830
(617) 657-9227
Mailing address
50 CAPEN ST, DORCHESTER, MA 02124-4211
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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