Individual
FORTUNE ISAAC TACHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
431 RIVER ST, WALTHAM, MA 02453-5476
(781) 966-5681
Mailing address
431 RIVER ST, WALTHAM, MA 02453-5476
(781) 966-5681
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/05/2023
Last updated
10/06/2023
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