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Individual

CHARLES DELOATCH JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
540 VFW PKWY, WEST ROXBURY, MA 02132-1332
(617) 325-2993
(617) 325-5618
Mailing address
540 VFW PKWY, WEST ROXBURY, MA 02132-1332
(617) 325-2993
(617) 325-5618

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
04/02/2012
Last updated
04/02/2012
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