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Individual

MS. BETTY ROSE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA.ED

Contact information

Practice address
5 CODMAN PARK, #3, ROXBURY, MA 02119-1665
(617) 445-0384
Mailing address
5 CODMAN PARK, #3, ROXBURY, MA 02119-1665
(617) 445-0384

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/28/2010
Last updated
01/28/2010
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