Individual
JONATHAN ROBERTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
439 S UNION ST, LAWRENCE, MA 01843-2837
(978) 674-6744
Mailing address
217 MAIN ST, LYNNFIELD, MA 01940-2512
(781) 248-9812
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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