Individual
AMANDA BOUDROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 BROADWAY, CHELSEA, MA 02150-2807
(617) 912-7912
Mailing address
301 BROADWAY, CHELSEA, MA 02150-2807
(617) 912-7912
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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