Individual
ARLENE SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSLADCI
Contact information
Practice address
1419 HANCOCK ST STE 301, QUINCY, MA 02169-5250
(617) 328-0639
(617) 328-2049
Mailing address
1419 HANCOCK ST STE 301, QUINCY, MA 02169-5250
(617) 328-0639
(617) 328-2049
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13822
MA
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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