Individual
CHLOE ELYSE FASANMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
771 ALBANY ST, BOSTON, MA 02118-2525
(474) 414-4749
Mailing address
16 VICTORY RD APT 1, DORCHESTER, MA 02122-2788
(347) 617-9034
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/25/2020
Last updated
05/25/2020
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