Individual
SUSAN MARIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC 1
Contact information
Practice address
77 WARREN ST, BRIGHTON, MA 02135-3601
(617) 254-1271
(617) 787-4279
Mailing address
77 WARREN ST, BRIGHTON, MA 02135-3601
(617) 254-1271
(617) 787-4279
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1571
MA
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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