Individual
SANDRA ROBERTSON MUHAMMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CAGS, LMHC
Contact information
Practice address
1773 DORCHESTER AVE # MA, BOSTON, MA 02124-2556
(617) 312-4476
(617) 297-5515
Mailing address
1773 DORCHESTER AVE # MA, BOSTON, MA 02124-2556
(617) 312-4476
(617) 297-5515
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
10186
MA
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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