Individual
MISS IDA DARNELL ALLEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTERS DEGREE
Contact information
Practice address
95 BERKELEY ST, BOSTON, MA 02116-6230
(617) 778-1171
Mailing address
56 BAKER ST UNIT H, FOXBORO, MA 02035-1961
(857) 334-0162
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/19/2010
Last updated
04/19/2012
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