Individual
MR. LEMUEL VASSAR MILLS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
321 BLUE HILL AVE, BOSTON, MA 02121-4302
(617) 541-6859
(617) 445-2125
Mailing address
35 BRADLEE ST, HYDE PARK, MA 02136-3205
(617) 792-4906
(617) 541-9901
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
467450
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S35214203
DRIVERS LICENSE
MA
Enumeration date
05/26/2017
Last updated
03/17/2018
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