IRVIN EDWARD COLLYMORE

ALLSTON, MA
NPI1154618437
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-07-07
Last Update Date2011-07-07
Business Address
-- IRVIN EDWARD COLLYMORE
14 FORDHAM RD
ALLSTON, MA 02134-3006
Phone number: 617-782-6460
Mailing Address
-- IRVIN EDWARD COLLYMORE
14 FORDHAM RD
ALLSTON, MA 02134-3006
Phone number: 617-782-6460