Individual
OSCAR DAVID AGUDELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
245 EUSTIS ST, ROXBURY, MA 02119-2826
(617) 913-8477
Mailing address
245 EUSTIS ST, ROXBURY, MA 02119-2826
(617) 913-8477
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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