Individual
KHADIJAH IMANI DOUMBIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 BRAINTREE HILL OFFICE PARK, SUITE 206, BRAINTREE, MA 02184
(617) 876-4626
Mailing address
25 BRAINTREE HILL OFFICE PARK, SUITE 206, BRAINTREE, MA 02184
(617) 876-4626
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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