Individual
JOSUE THEOSMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 PLEASANT ST STE 2000, MALDEN, MA 02148-5119
(781) 851-2648
Mailing address
85 GERSHOM AVE APT 7, LOWELL, MA 01854-2459
(617) 461-3882
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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