Individual
EMMA DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
930 COMMONWEALTH AVE, BOSTON, MA 02215-1274
(617) 353-7277
Mailing address
96 BAY STATE RD APT 5B, BOSTON, MA 02215-1906
(201) 788-3832
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
222299
MA
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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