Individual
KAREN SHERRELL VASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 DUDLEY ST, ROXBURY, MA 02119-2769
(617) 445-6655
Mailing address
50 COLORADO ST, MATTAPAN, MA 02126-1348
(617) 298-1637
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
S35238334
MA
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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