Individual
MAHLET MESHESHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
30 WARREN ST, BRIGHTON, MA 02135-3680
(202) 609-1230
Mailing address
866 WASHINGTON ST APT 1, DORCHESTER, MA 02124-4876
(202) 509-1230
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
000225046
MA
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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