JERRY SHORT

DORCHESTER, MA
NPI1023348786
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2009-12-31
Last Update Date2009-12-31
Business Address
Mr. JERRY SHORT
40 CRESTWOOD PARK
DORCHESTER, MA 02121-1106
Phone number: 617-312-9564
Mailing Address
Mr. JERRY SHORT
40 CRESTWOOD PARK
DORCHESTER, MA 02121-1106
Phone number: 617-312-9564
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