Individual
EWERTON BORBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
92 UNION SQ, SOMERVILLE, MA 02143-3028
(617) 764-2091
Mailing address
92 STANLEY AVE, MEDFORD, MA 02155-5618
(617) 435-2315
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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