Individual
MR. AYON BOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
45 LYMAN ST STE 11, WESTBOROUGH, MA 01581
(508) 791-3677
Mailing address
397 GROVE ST, WORCESTER, MA 01605-1223
(508) 791-3677
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/19/2011
Last updated
06/01/2018
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