Individual
ANEESAH ABDULLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 DUDLEY ST, ROXBURY, MA 02119-2769
(857) 266-1900
Mailing address
PO BOX 301254, JAMAICA PLAIN, MA 02130-0011
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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