Individual
AISHA C GUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 DUDLEY ST, ROXBURY, MA 02119-2769
(617) 445-6655
Mailing address
14 BIRCHCROFT RD, MATTAPAN, MA 02126-1002
(617) 445-6655
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/29/2009
Last updated
05/29/2009
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