Individual
ELMA DESOUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
895 BLUE HILL AVE, DORCHESTER, MA 02124-2902
(617) 506-8188
Mailing address
539 WASHINGTON ST APT 2, BRIGHTON, MA 02135-2939
(401) 871-4640
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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