Individual
BORJA VAZQUEZ ROSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
95 BERKELEY ST, SUITE 600, BOSTON, MA 02116-6230
(617) 778-1172
Mailing address
95 BERKELEY ST, SUITE 600, BOSTON, MA 02116-6230
(617) 778-1172
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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