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Individual

ANNA TERESA MACDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
17 INNERBELT RD, SOMERVILLE, MA 02143-4418
(617) 629-6790
Mailing address
35 RAYMOND ST # A, ALLSTON, MA 02134-1110
(774) 292-1429

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/17/2018
Last updated
09/17/2018
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