Individual
GRACIE VANESSA ALLEYNE-POPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1419 HANCOCK ST STE 300, QUINCY, MA 02169-5250
(617) 328-0639
Mailing address
66 GREENLEAF ST APT 21, QUINCY, MA 02169-4448
(617) 373-0654
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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